Manley, Gwen A
Manley, Gwen A is an individual health care provider with primary practice located at 157 E Main St , Norwich NY 13815-1521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manley, Gwen A can be contacted via phone (607) 336-2400.Contact Information
Primary practice address
157 E Main St
Norwich NY 13815-1521
Phone: (607) 336-2400
Fax: (607) 334-5618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F332297 | New York |
Profile Details
| NPI number | 1245270461 |
|---|---|
| LBN Legal business name | Manley, Gwen A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 6th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245270461 | NPPES |
| New York | MEDICAID | 02282108 |
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