Healthcare Provider Details
I. General information
NPI: 1598384653
Provider Name (Legal Business Name): KAREN A MANNING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/09/2020
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 UNIVERSITY RD
PEMBROKE NC
28372-7613
US
IV. Provider business mailing address
216 COMMERCE AVE # 183
SOUTHERN PINES NC
28387-7059
US
V. Phone/Fax
- Phone: 910-775-4148
- Fax:
- Phone: 714-319-8818
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0200X |
| Taxonomy | Pediatric Clinical Nurse Specialist |
| License Number | 399050 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WS0200X |
| Taxonomy | School Registered Nurse |
| License Number | 399050 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 399050 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: