Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 550978 | TX |
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP017847 | TX |
NPI | 1033110101 |
---|---|
Provider Name | Julia Ann Manning |
First Address | Houston, TX 77273-3627 |
Second Address | The Woodlands, TX 77384-4167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 29/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
154851302 | (05) | TX |
P73828 | (02) | TX |