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NPI Code Detail

MEDICARE: MISS VIRGINIA MANALO PRIETO RN, MSN, CCRN, ANP

MEDICARE:  MISS VIRGINIA MANALO PRIETO  RN, MSN, CCRN, ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner376884-1NY

General Provider Information

NPI Number : 1972752285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS VIRGINIA MANALO PRIETO RN, MSN, CCRN, ANP
Provider Business Mailing Address
First Line : PO BOX 1458
Second Line :
City : NEW YORK
State : NY
Zip : 10116-1458
Country : US
Telephone Number : 212-241-7929
Fax Number : 212-427-7255
Provider Business Practice Location Address
First Line : GP 7 WEST 1 GUSTAVE L. LEVY PLACE
Second Line :
City : NEW YORK
State : NY
Zip : 10029-0000
Country : US
Telephone Number : 212-241-7929
Fax Number : 212-427-7255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2008
Last Update Date : 09/10/2008

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Directions to “ MISS VIRGINIA MANALO PRIETO RN, MSN, CCRN, ANP” Practice Location

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