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Individual

SCOTT MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, MSN

Contact information

Practice address
18 HEMISON CT, PIKESVILLE, MD 21208-3343
(443) 610-7773
Mailing address
18 HEMISON CT, PIKESVILLE, MD 21208-3343
(443) 610-7773

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R169313
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R169313
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029536100
MD
Enumeration date
04/01/2009
Last updated
04/08/2010
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