Individual
DANIEL ALEX MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3605 MADACA LN, TAMPA, FL 33618-2048
(813) 777-1641
Mailing address
8924 SOUTHBAY DR, TAMPA, FL 33615-2770
(904) 553-1218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11000190
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11000190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG08180016
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
09/20/2018
Last updated
05/13/2021
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