Manos, Stacey

Manos, Stacey is an individual health care provider with primary practice located at 3545 Lincoln Way E Ste B , Massillon OH 44646-8624. 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. Manos, Stacey can be contacted via phone (513) 834-7063.

Contact Information

Primary practice address
3545 Lincoln Way E Ste B Massillon OH 44646-8624
Phone: (513) 834-7063
Fax: (513) 873-1567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN264882 Ohio

Profile Details

NPI number 1336169754
LBN Legal business name Manos, Stacey
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 25th, 2019 - about 6 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 1336169754 NPPES
Ohio MEDICAID 2681852

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