Individual
DRIAHNA MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-6331
Mailing address
2326 COUNTY ROAD 375 N, FAIRFIELD, IL 62837-4406
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209024696
IL
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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