Healthcare Provider Details

I. General information

NPI: 1952170748
Provider Name (Legal Business Name): ALICIA MARIA MANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 OLIVE HWY STE 310
OROVILLE CA
95966-6135
US

IV. Provider business mailing address

461 21ST AVE S
NASHVILLE TN
37240-1104
US

V. Phone/Fax

Practice location:
  • Phone: 530-538-5688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number95359920
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number274450
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236603
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: