Individual
MARY MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8780 US HIGHWAY 42, FLORENCE, KY 41042-6936
(859) 384-8320
(859) 384-8338
Mailing address
2139 AUBURN AVENUE, ATTN: PAYOR ENROLLMENT 4-7, CINCINNATI, OH 45219-2610
(513) 351-9900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016190
KY
363LF0000X
Family Nurse Practitioner
CNP.0029684
OH
Other
Enumeration date
09/10/2021
Last updated
03/29/2023
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