Individual
MARY ELIZABETH MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
209 NORTH MAYSVILLE STREET, SUITE 200, MT. STERLING, KY 40353
(859) 404-7686
(859) 274-0785
Mailing address
209 NORTH MAYSVILLE STREET, SUITE 200, MT. STERLING, KY 40353
(859) 404-7686
(859) 274-0785
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3004121
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000671076
ANTHEM BCBS
—
01
—
11981709
CAQH #
—
05
—
7100045030
—
KY
01
—
9100649
AETNA
—
Enumeration date
05/01/2007
Last updated
03/21/2017
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