Individual
ALYSSA LEA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R27887
ND
363LF0000X
Family Nurse Practitioner
Primary
1481
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138457100
—
MN
05
—
19763
—
ND
Enumeration date
07/22/2006
Last updated
06/30/2025
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