Jennifer Lizabeth Manganello
Nurse Practitioner - Acute Care
407 S Schwartz Ave Suite 101
Farmington
, New Mexico 87401
Jennifer Lizabeth Manganello
Nurse Practitioner - Acute Care
407 S Schwartz Ave Suite 101
Farmington
, New Mexico 87401
(505) 609-2259
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Jennifer Lizabeth Manganello
- Po Box 6210
- Farmington, NM
- Zip : 87499-6210
- Fax : (505) 609-2259
- Phone : (505) 609-2258
Second Address
- Jennifer Lizabeth Manganello
- 407 S Schwartz Ave Suite 101
- Farmington, NM
- Zip : 87401
- Fax : (505) 609-6775
- Phone : (505) 609-6770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | APN.0993958-NP | CO |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | CNP-01904 | NM |
National Provider Identifier
| NPI | 1013286269 |
|---|---|
| Provider Name | Jennifer Lizabeth Manganello |
| First Address | Farmington, NM 87499-6210 |
| Second Address | Farmington, NM 87401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2011 |
| Last Update Date | 06/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.