Individual provider · Type 1 NPI

Nicole Ivonne McManus, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1770103400 Active

Practice location

4190 City Ave Ste 409
Philadelphia, PA 19131-1629

Call (352) 459-7479 Map

Mailing address

6872 Outrigger Ct
Flowery Branch, GA 30542-6622

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770103400

Nicole Ivonne McManus, DO's National Provider Identifier is 1770103400, issued on Apr 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 22, 2020.