Provider Demographics
NPI:1497640304
Name:MANNION, EMILY KAITLYN (PA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KAITLYN
Last Name:MANNION
Suffix:
Gender:F
Credentials:PA
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Other - Last Name:
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Mailing Address - Street 1:1 CAMPUS DR
Mailing Address - Street 2:2015 JAMES H. ZUMBERGE HALL
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-9403
Mailing Address - Country:US
Mailing Address - Phone:616-331-5700
Mailing Address - Fax:616-331-5999
Practice Address - Street 1:301 MICHIGAN ST NE STE 200
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-3314
Practice Address - Country:US
Practice Address - Phone:616-331-5700
Practice Address - Fax:616-331-5999
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant