Provider Demographics
NPI:1952014813
Name:MANNING, KATRINA MARIE (MSN, CRNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:MANNING
Suffix:
Gender:F
Credentials:MSN, CRNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 FOREST LN
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-1066
Mailing Address - Country:US
Mailing Address - Phone:484-802-2860
Mailing Address - Fax:
Practice Address - Street 1:851 DUPORTAIL RD FL 2
Practice Address - Street 2:
Practice Address - City:CHESTERBROOK
Practice Address - State:PA
Practice Address - Zip Code:19087-5575
Practice Address - Country:US
Practice Address - Phone:851-219-0871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029845363LP0808X
TN0000245856163W00000X
PARN714949163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse