Individual
SHENA ANTRONETTE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6340 E BOISE ST, MESA, AZ 85205-8341
(773) 513-9131
Mailing address
6040 E MAIN ST STE 149, MESA, AZ 85205-8928
(773) 513-9131
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN209840
AZ
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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