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NPI 1104769801

IndividualActive

Amanda Mannon

NPI 1104769801 · Registered Nurse · Charleston, WV

Provider details

NPI number: 1104769801
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 488306 (OH)

Practice location

3200 Maccorkle Ave Se

Charleston, WV 25304-1227

Phone: (304) 388-5432

More WV providers

Mailing address

10 Township Road 1144

Proctorville, OH 45669-8554

Registry dates

Enumerated: 2026-04-09
Last updated: 2026-04-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Mannon — NPI 1104769801, Charleston, WV | NPI Central