Provider Demographics
NPI:1932255163
Name:MANNING, ROBIN R (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:R
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 1:4969 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-9698
Mailing Address - Country:US
Mailing Address - Phone:937-547-1433
Mailing Address - Fax:937-547-9960
Practice Address - Street 1:4969 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-9698
Practice Address - Country:US
Practice Address - Phone:937-547-1433
Practice Address - Fax:937-547-9960
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN192565171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator