Individual
MEGAN MANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1565 N MAIN ST STE 306, FALL RIVER, MA 02720-2972
(508) 973-9500
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2339352
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110181571A
—
MA
Enumeration date
09/21/2021
Last updated
06/15/2024
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