Individual
MS. HEATHER MARIE MANCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
18220 QUINN RD, CHAGRIN FALLS, OH 44023-2402
(216) 469-9026
Mailing address
18220 QUINN RD, CHAGRIN FALLS, OH 44023-2402
(216) 469-9026
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.14115-NP
OH
Other
Enumeration date
01/15/2013
Last updated
07/26/2019
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