Manlin, Nicole

Manlin, Nicole is an individual health care provider with primary practice located at 14855 N Outer 40 , Chesterfield MO 63017-2026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Manlin, Nicole can be contacted via phone (636) 532-0150.

Contact Information

Primary practice address
14855 N Outer 40 Chesterfield MO 63017-2026
Phone: (636) 532-0150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 137025 Missouri

Profile Details

NPI number 1649225103
LBN Legal business name Manlin, Nicole
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649225103 NPPES
Missouri MEDICAID 427588108

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