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Individual

JOANN MANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
301 ST PAUL PLACE, BALTIMORE, MD 21202
(410) 783-5599
(410) 783-5699
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R028167
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
R028167
MD

Other

Enumeration date
01/12/2007
Last updated
09/11/2025
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