Individual provider · Type 1 NPI

Susan Mani, FP

Gerontology Nurse Practitioner · Spartanburg, SC

NPI number 1053394486 Active

Practice location

101 E Wood St
Spartanburg, SC 29303-3040

Fax (864) 560-6013

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN086518 (AZ)
Gerontology Nurse Practitioner Primary 363LG0600X18325 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1053394486

Susan Mani, FP's National Provider Identifier is 1053394486, issued on Nov 21, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Spartanburg, SC. The record was last updated on Feb 6, 2018.