Individual
MS. DIANNE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3549
(215) 247-5820
Mailing address
7445 SPRAGUE ST, PHILADELPHIA, PA 19119-1037
(215) 248-2458
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP003212D
PA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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