Provider Demographics
NPI:1851832547
Name:MANNING, ASHLEY LYNN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY LYNN
Middle Name:
Last Name:MANNING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:ASHLEY LYNN
Other - Middle Name:
Other - Last Name:NEDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5501 THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-7971
Mailing Address - Country:US
Mailing Address - Phone:585-694-9550
Mailing Address - Fax:
Practice Address - Street 1:5501 THOMAS RD
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-7971
Practice Address - Country:US
Practice Address - Phone:585-694-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily