NICHOLE E MANNAHAN FNP - NPI 1194293464 - Nurse Practitioner in Evansville, IN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Nichole E Mannahan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE E MANNAHAN FNP (NPI 1194293464) is an individual family provider in Evansville, Indiana, licensed in Indiana (71008940A) and active in the NPI registry since November 2018. She maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1194293464

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICHOLE E MANNAHANCredential: FNP

Location Address5120 WESTON RDEvansville, IN 47712-3702

Mailing Address5120 Weston RdEvansville, IN 47712-3702 · (812) 424-4811

Phone(812) 424-4811

Sole ProprietorNo

Enumeration DateNovember 5, 2018

Last NPPES UpdateJanuary 21, 20215 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2021

✔ NPI 1194293464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71008940A

5120 WESTON RD, Evansville, IN 47712

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Secondary Practice Location 1

Location 15120 Weston RdEvansville, IN 47712 · Phone (812) 424-4811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN DAVID GARVEY PHARMD.

Pharmacist