MEDICARE: LAURA E MANNS-JAMES CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	4300M	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063482206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA E MANNS-JAMES CNM

Provider Business Mailing Address
First Line	:	PO BOX 364
Second Line	:	247 WHITE ST
City	:	MANCHESTER
State	:	KY
Zip	:	40962
Country	:	US
Telephone Number	:	606-599-8297
Fax Number	:	606-599-8568

Provider Business Practice Location Address
First Line	:	247 WHITE ST
Second Line	:
City	:	MANCHESTER
State	:	KY
Zip	:	40962
Country	:	US
Telephone Number	:	606-599-8297
Fax Number	:	606-599-8568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	07/08/2007

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