Healthcare Provider Details

I. General information

NPI: 1265390959
Provider Name (Legal Business Name): RANIA MALEK MANKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RANIA MALEK QAQISH NP

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 BARTON RD
REDLANDS CA
92373-5304
US

IV. Provider business mailing address

7718 MORNINGSIDE LN
HIGHLAND CA
92346-5841
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-9275
  • Fax:
Mailing address:
  • Phone: 909-520-1465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95035977
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: