Provider Demographics
NPI:1912215880
Name:MANNING, BARBARA L (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:MANNING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 SENTRY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-8518
Mailing Address - Country:US
Mailing Address - Phone:937-416-5544
Mailing Address - Fax:
Practice Address - Street 1:1341 SENTRY LN
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-8518
Practice Address - Country:US
Practice Address - Phone:937-416-5544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN256799163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse