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General NPI Number Information
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NPI Number | 1497093561
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Entity Type | Individual
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Provider Name | MEGAN MANNING PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 672 E VINE ST STE 1
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City | MURRAY
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State | UT
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Zip | 84107-5539
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Country | US
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Telephone | 385-422-1809
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Fax | 385-486-0122
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Provider Business Mailing Address
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Address Line | 672 E VINE ST STE 1
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City | MURRAY
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State | UT
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Zip | 84107-5539
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Country | US
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Telephone | 385-422-1809
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Fax | 385-486-0122
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 81665183101
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0993395
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 8166518-4405
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 8166518-3102
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License Number State | UT
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