Individual
CONNIE MARIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6324 FAIRVIEW RD STE 460, CHARLOTTE, NC 28210-3374
(980) 302-8611
(980) 302-8624
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013682
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5013682
NC
Other
Enumeration date
10/20/2020
Last updated
11/09/2023
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