Individual
DR. MARK ALAN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
124 SAGAMORE PKWY WEST, WEST LAFAYETTE, IN 47906
(765) 463-6722
(765) 463-0905
Mailing address
124 SAGAMORE PKWY WEST, WEST LAFAYETTE, IN 47906
(765) 463-6722
(765) 463-0905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006259A
IN
363LF0000X
Family Nurse Practitioner
AP60520310
WA
Other
Enumeration date
11/10/2014
Last updated
06/02/2025
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