Provider Demographics
NPI:1548067762
Name:MCMANUS, KAREN LEA
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LEA
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 NEW HAMPSHIRE AVE APT 810
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6965
Mailing Address - Country:US
Mailing Address - Phone:425-765-0054
Mailing Address - Fax:
Practice Address - Street 1:103 G ST SW APT B614
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4331
Practice Address - Country:US
Practice Address - Phone:202-940-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant