Healthcare Provider Details

I. General information

NPI: 1528713559
Provider Name (Legal Business Name): EMILY PAIGE MANNING APRN, A-GNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE FL S90
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE FL S90
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-636-5860
  • Fax:
Mailing address:
  • Phone: 216-636-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.0030807
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.454822
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: