MS. HEATHER MARIE MANCHEN


Address: 18220 Quinn Rd, Chagrin Falls, OH 44023-2402
Phone: 2164699026

MS. HEATHER MARIE MANCHEN (NPI# 1760729321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760729321
Entity Type Individual
Full Name MS. HEATHER MARIE MANCHEN
Credential ACNP
Practice Address 18220 Quinn Rd
Chagrin Falls
OH 44023-2402
Practice Telephone 2164699026
Mailing Telephone 2164699026
Enumeration Date 2013-01-15
Last Update Date 2019-07-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
COA.14115-NP OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18220 QUINN RD
City CHAGRIN FALLS
State OH
Zip Code 44023-2402

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NPI Name Taxonomy Address Enumeration
1255850244 Tiffani Lauryn Mattson Specialist/Technologist 16783 Snyder Road, Chagrin Falls, OH 44023 2017-09-12
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1427391853 Andrea Ward Obstetrics & Gynecology 8185 E. Washington Street, Chagrin Falls, OH 44023 2013-04-04
1346576287 Jennifer Rose Cochran Home Health Aide 7695 Pettibone Rd, Chagrin Falls, OH 44023 2009-10-28
1013162700 Eric Jason Lewis Registered Nurse 16515 Munn Rd, Chagrin Falls, OH 44023 2008-11-21
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1376754473 Washington Square Chiropractic Clinic, LLC Chiropractor 8551 East Washington St., Chagrin Falls, OH 44023 2007-05-24
1730309006 Bainbridge Township Ambulance 17822 Chillicothe Road, Chagrin Falls, OH 44023 2007-04-27
1215062625 Mark C Brown Psychologist 9781 Whisperwood Circle, Chagrin Falls, OH 44023 2007-02-23
1417096710 Debra D Arthur Speech-Language Pathologist 7160 Chagrin Road, Suite 125, Bainbridge, OH 44023 2007-02-05
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City CHAGRIN FALLS
Zip Code 44023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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