Individual
SAMANTHA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 GREENHAVEN RD, ANOKA, MN 55303-5566
(763) 587-4488
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
2116688
MN
367A00000X
Advanced Practice Midwife
Primary
480
MN
Other
Enumeration date
05/31/2020
Last updated
11/26/2024
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