Marygrace Manzano
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
844 Kempsville Rd Ste 212
Norfolk
, Virginia 23502-3927
Marygrace Manzano
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
844 Kempsville Rd Ste 212
Norfolk
, Virginia 23502-3927
(757) 275-9913
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Marygrace Manzano
- 844 Kempsville Rd Ste 212
- Norfolk, VA
- Zip : 23502-3927
- Fax : (757) 275-9913
- Phone : (757) 261-5977
Second Address
- Marygrace Manzano
- 844 Kempsville Rd Ste 212
- Norfolk, VA
- Zip : 23502-3927
- Fax : (757) 275-9913
- Phone : (757) 261-5977
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Is Marygrace Manzano a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024176270 | VA |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024176270 | VA |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 0024176270 | VA |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 0024176270 | VA |
National Provider Identifier
| NPI | 1437644770 |
|---|---|
| Provider Name | Marygrace Manzano |
| First Address | Norfolk, VA 23502-3927 |
| Second Address | Norfolk, VA 23502-3927 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2018 |
| Last Update Date | 07/01/2022 |
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.