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NPI Code Detail

MEDICARE: WENDY G MANETTI CRNP

MEDICARE:   WENDY G MANETTI  CRNP
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
1363L00000XNurse PractitionerTP005804BPA

General Provider Information

NPI Number : 1326028200
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY G MANETTI CRNP
Provider Business Mailing Address
First Line : 5 MORGAN HWY
Second Line : SUITE 6
City : SCRANTON
State : PA
Zip : 18508-2641
Country : US
Telephone Number : 570-558-7410
Fax Number :
Provider Business Practice Location Address
First Line : 231 NORTHERN BLVD
Second Line : SUITE 3
City : SOUTH ABINGTON TOWNSHIP
State : PA
Zip : 18411-9189
Country : US
Telephone Number : 570-587-4113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 06/17/2009

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Directions to “ WENDY G MANETTI CRNP” Practice Location

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