Provider Demographics
NPI:1609981893
Name:MCMANUS-GAY, ANNA M (APRN, PHD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:MCMANUS-GAY
Suffix:
Gender:F
Credentials:APRN, PHD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:MCMANUS-GAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, PHD
Mailing Address - Street 1:62 SELDOM SEEN RD
Mailing Address - Street 2:
Mailing Address - City:BRADFORDWOODS
Mailing Address - State:PA
Mailing Address - Zip Code:15015-1320
Mailing Address - Country:US
Mailing Address - Phone:724-799-2123
Mailing Address - Fax:
Practice Address - Street 1:117 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-3116
Practice Address - Country:US
Practice Address - Phone:412-779-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN211427L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ00034Medicare UPIN
PA074177Medicare ID - Type Unspecified