Individual provider · Type 1 NPI

Blayne Manning

Adult Health Nurse Practitioner · Great Neck, NY

NPI number 1013461276 Active

Practice location

225 Community Dr, #110
Great Neck, NY 11021-5503

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X307828 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1013461276

Blayne Manning's National Provider Identifier is 1013461276, issued on Aug 5, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Great Neck, NY. The record was last updated on Aug 5, 2016.