Individual provider · Type 1 NPI

Elizabeth Manner

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1659108546 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

2934 W Master St
Philadelphia, PA 19121-3650

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP030432 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1659108546

Elizabeth Manner's National Provider Identifier is 1659108546, issued on Sep 16, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 16, 2024.