Provider Demographics
NPI:1356404016
Name:MANNS, MIAO-LING (NP)
Entity type:Individual
Prefix:MRS
First Name:MIAO-LING
Middle Name:
Last Name:MANNS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10315 W ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2119
Mailing Address - Country:US
Mailing Address - Phone:602-334-5154
Mailing Address - Fax:623-362-2694
Practice Address - Street 1:10315 W ROBIN LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-2119
Practice Address - Country:US
Practice Address - Phone:602-334-5154
Practice Address - Fax:623-362-2694
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTAP2377363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health