Individual provider · Type 1 NPI

Oksana Kovalyova Manning

Nurse Practitioner · Winston Salem, NC

NPI number 1124859129 Active

Practice location

105 Hanes Square Cir
Winston Salem, NC 27103-5514

Fax (336) 771-1907

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5020595 (NC)
Nurse Practitioner 363L00000XF01241462 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124859129

Oksana Kovalyova Manning's National Provider Identifier is 1124859129, issued on Aug 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 12, 2024.