Individual provider · Type 1 NPI
Donna Rae Manley, PNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1407977887
Active
Practice location
1 Childrens Pl, Div Ped Allergy/immuno/pulmo
St. Louis, MO 63110-1002
Fax (314) 454-2515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 115307 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 115307 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1407977887
Donna Rae Manley, PNP's National Provider Identifier is 1407977887, issued on Apr 3, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2021.