Manu, Mary P

Manu, Mary P is an individual health care provider with primary practice located at 6017 Travo Way , Elk Grove CA 95757-2800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Manu, Mary P can be contacted via phone (916) 479-9007.

Contact Information

Primary practice address
6017 Travo Way Elk Grove CA 95757-2800
Phone: (916) 479-9007
Fax: (916) 479-9007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95006426 California

Profile Details

NPI number 1033647706
LBN Legal business name Manu, Mary P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2017
Last updated Jan 3rd, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033647706 NPPES
Other F03170586 AMERICAN ACADEMY OF NURSE PRACTITIONERS
Other 95006426 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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