Most Relevant Information
Provider Data
| NPI Number: | 1003507856 |
| Provider Name: | ASHLEY MANNINEN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704355624 |
Most Important Dates
| Enumeration Date: | 05/15/2023 |
| Last Updated: | 05/15/2023 |
Provider Practice Location
401 10TH AVE
MENOMINEE
MI
498583009
Practice Location Phone/Fax
| Phone: | 9068637841 |
| Fax: |
Provider Mailing Location
401 10TH AVE
MENOMINEE
MI
498583009
Provider Mailing Phone/Fax
| Phone: | 9068637841 |
| Fax: |