NICOLE IVONNE MCMANUS


Address: 4190 City Ave Ste 409, Philadelphia, PA 19131-1629
Phone: 3524597479

NICOLE IVONNE MCMANUS (NPI# 1770103400) 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) 1770103400
Entity Type Individual
Full Name NICOLE IVONNE MCMANUS
Credential DO
Practice Address 4190 City Ave Ste 409
Philadelphia
PA 19131-1629
Mailing Address 6872 Outrigger Ct
Flowery Branch
GA 30542-6622
Practice Telephone 3524597479
Mailing Telephone 3524597479
Enumeration Date 2020-04-22
Last Update Date 2020-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers NICOLE MCMANUS

NPI Name Taxonomy Address Enumeration
1336784958 Nicole M Mcmanus Social Worker 1940 3rd Avenue Ln Se, Hickory, NC 28602-2959 2019-11-07
1750486064 Nicole C Mcmanus Physical Therapist 475 High St, Unit E, Somersworth, NH 03878-1024 2006-09-13
1467903302 Nicole Mcmanus Behavioral Analyst 515 W 14th St, Traverse City, MI 49684-4059 2016-10-15

Office Location

Street Address 4190 CITY AVE STE 409
City PHILADELPHIA
State PA
Zip Code 19131-1629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255696415 Richard Hieu Trung Huynh Plastic Surgery 4190 City Ave Ste 409, Philadelphia, PA 19131-1629 2012-07-12
1760040216 Harleen Kaur Sethi Student in an Organized Health Care Education/Training Program 4190 City Ave Ste 409, Philadelphia, PA 19131-1629 2019-05-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1659970689 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 1575 North 25nd Street, Philadelphia, PA 19131 2020-10-21
1821629254 Stephen Osowski Student in an Organized Health Care Education/Training Program 4170 City Avenue, Philadelphia, PA 19131 2020-02-04
1134774888 Arti D Mistry Dentist 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1922502582 Kevin David Wojcik Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 2018-03-20
1235633900 Nadja Hill Home Health 5203 Diamond Street, Philadelphia, PA 19131 2018-03-19
1932623857 Mercy Management of Sepa Social Worker 1575 N 52nd St Ste 800, Philadelphia, PA 19131 2017-08-02
1578092235 Sarah Marie Hoder Specialist/Technologist 4000 Presidential Avenue, Philadlephia, PA 19131 2017-06-07
Find all providers in zip 19131

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1891395828 Roopali Mahajan Student in an Organized Health Care Education/Training Program 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 2020-10-28
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1477166056 Tiffany Shanay Canady Student in an Organized Health Care Education/Training Program 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 2020-08-25
1093325599 Taylor Ann Hall Student in an Organized Health Care Education/Training Program 403 E Evergreen Ave, Philadelphia, PA 19118-2826 2020-08-09
1093324766 Alex J Rodriguez Student in an Organized Health Care Education/Training Program 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 2020-07-28
1396361796 Hagar Mahmoud Student in an Organized Health Care Education/Training Program 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 2020-06-22
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1386266138 Ogan Kumova Student in an Organized Health Care Education/Training Program 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 2020-05-15
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19131

Improve Information

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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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