Provider Demographics
NPI:1255134524
Name:MANKOWSKI, JOANNE (CLD)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:MANKOWSKI
Suffix:
Gender:
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47249 SILVER SLATE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-2434
Mailing Address - Country:US
Mailing Address - Phone:301-997-5936
Mailing Address - Fax:
Practice Address - Street 1:47249 SILVER SLATE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-2434
Practice Address - Country:US
Practice Address - Phone:301-997-5936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA5578374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula