MEDICARE: JOSHUA MANN CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN694790	PA
2	163W00000X	Registered Nurse	RN694790	PA

General Provider Information

NPI Number	:	1952944092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MANN CRNA

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 S GEORGE ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-3676
Country	:	US
Telephone Number	:	717-741-5257
Fax Number	:

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

Provider Enumeration Date	:	10/22/2019
Last Update Date	:	03/02/2026

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