Individual
MANOTTE ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
312 HARRISBURG ST, EAST BERLIN, PA 17316
(717) 259-0222
Mailing address
312 HARRISBURG ST, EAST BERLIN, PA 17316-9505
(717) 259-0222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017849
PA
Other
Enumeration date
08/28/2017
Last updated
04/05/2026
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