Individual
STACEY MANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3545 LINCOLN WAY E STE B, MASSILLON, OH 44646-8624
(513) 834-7063
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN264882
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2681852
—
OH
Enumeration date
07/20/2006
Last updated
06/25/2019
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