Individual
NINA S MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
903 CENTER ST, LAFAYETTE, LA 70501-3901
(504) 756-3904
Mailing address
3525 PRYTANIA ST, SUITE 526, NEW ORLEANS, LA 70115-3500
(504) 648-2500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN036181 APO 0460
LA
Other
Enumeration date
01/14/2008
Last updated
04/04/2013
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