Individual
HEATHER MARIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
143 TOP OF THE ROCK DR, MORGANTOWN, WV 26508-1281
(814) 659-7811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2645
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177A9
BCBS NC
NC
Enumeration date
02/28/2012
Last updated
05/14/2023
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