Individual
MICHAEL JOSEPH MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
1202 NICHOLAS RD, INDIANAPOLIS, IN 46220-3238
(901) 828-6597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011073A
IN
363LA2100X
Acute Care Nurse Practitioner
71011073A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011073A
IN
Other
Enumeration date
04/24/2021
Last updated
12/12/2023
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