Individual
MRS. AMY LEE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
61 HIGHWAY Y, ELLINGTON, MO 63638-7802
(573) 663-2525
(573) 663-7821
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016025943
MO
Other
Enumeration date
08/12/2016
Last updated
01/31/2017
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