Individual
MRS. KAREN A MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10607 RANDOLPH ST, STE C, CROWN POINT, IN 46307-7505
(219) 663-1841
(219) 663-1846
Mailing address
10607 RANDOLPH ST, STE C, CROWN POINT, IN 46307-7505
(219) 663-1841
(219) 663-1846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001692A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201001970
—
IN
Enumeration date
02/09/2007
Last updated
11/29/2011
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