Healthcare Provider Details

I. General information

NPI: 1184199937
Provider Name (Legal Business Name): MANISHA N KIRPALANI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 LINGLESTOWN RD STE 100
HARRISBURG PA
17110-9473
US

IV. Provider business mailing address

2151 LINGLESTOWN RD STE 100
HARRISBURG PA
17110-9473
US

V. Phone/Fax

Practice location:
  • Phone: 717-545-4786
  • Fax: 717-545-6359
Mailing address:
  • Phone: 717-545-4786
  • Fax: 717-545-6359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019506
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: