person
Nicole Ivonne Mcmanus, DO
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1770103400

Nicole Ivonne Mcmanus is a Student in an Organized Health Care Education/Training Program based in Flowery Branch, PA. Nicole Ivonne Mcmanus practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Nicole Ivonne Mcmanus is 1770103400 and holds a License No. (Pennsylvania).

The current practice location address for Nicole Ivonne Mcmanus is 4190 City Ave Ste 409, Philadelphia, PA and can be reached out via phone at 352-459-7479.

Location: 4190 City Ave Ste 409, Philadelphia, PA, 30542-6622
person
Provider Profile Details
NPI Number
1770103400
Provider Name
Nicole Ivonne Mcmanus
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4190 City Ave Ste 409, Philadelphia, PA, 30542-6622
Phone Number
352-459-7479
Fax Number
Provider Enumeration Date
04/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4190 City Ave Ste 409
City
State
Zip
19131-1629
Phone Number
352-459-7479
Fax Number
person
Provider Business Mailing Address Details
Address
4190 City Ave Ste 409
City
State
Zip
19131-1629
Phone Number
352-459-7479
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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