Individual
ERIN MANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 MAIN ST, LONGMONT, CO 80501-1406
(720) 745-8030
(720) 745-8031
Mailing address
2101 MAIN ST, LONGMONT, CO 80501-1406
(720) 745-8030
(720) 745-8031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004690
CO
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21175071
—
CO
Enumeration date
07/05/2016
Last updated
12/07/2021
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