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Individual

MS. EMILY FERRARA MANDERNACH

Active
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Individual

MS. EMILY FERRARA MANDERNACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2022021645
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420110417
MO
Enumeration date
06/15/2022
Last updated
04/17/2025
Update your record

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