Bacarra, Minna Manalo

Bacarra, Minna Manalo is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bacarra, Minna Manalo can be contacted via phone (571) 472-1600.

Contact Information

Primary practice address
8081 Innovation Park Dr Fairfax VA 22031-4867
Phone: (571) 472-1600
Fax: (571) 472-1601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X RN966963 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024172064 Virginia

Profile Details

NPI number 1255339370
LBN Legal business name Bacarra, Minna Manalo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Oct 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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