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Individual

DANIELLE R MANESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP, CNM

Contact information

Practice address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 201-5019
Mailing address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 201-5019

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
80656
WV
367A00000X
Advanced Practice Midwife
Primary
APRN80656-MIDWIFE
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962884833
WV
05
3810029556
WV
Enumeration date
06/26/2015
Last updated
08/02/2019
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