Mannino, Linda Ann

Mannino, Linda Ann is an individual health care provider with primary practice located at 25195 Kelly Rd Suite A, Roseville MI 48066-4909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mannino, Linda Ann can be contacted via phone (586) 775-4594.

Contact Information

Primary practice address
25195 Kelly Rd Suite A Roseville MI 48066-4909
Phone: (586) 775-4594
Fax: (586) 775-4506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704148987 Michigan

Profile Details

NPI number 1073520052
LBN Legal business name Mannino, Linda Ann
Credentials APRN BC MSN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Feb 1st, 2013 - about 11 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 1073520052 NPPES
Michigan Other 500 866 4760 BCBS
Michigan MEDICAID 496016910 BCBS
Michigan Other OH-26467022 BCBS

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