LARA TRINIDAD MANESE NP NPI 1164905873

NPI Information

NPI: 1164905873
Provider Name: LARA TRINIDAD MANESE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
710 S CENTRAL AVE STE 330
GLENDALE, CA
ZIP 91204
Phone: (818) 500-8739
Get Directions

Lara Trinidad Manese, NP is a family nurse practitioner in Glendale, CA. Lara Trinidad Manese, NP NPI is 1164905873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

710 S CENTRAL AVE STE 330
GLENDALE, CA
ZIP 91204-647
Phone: (818) 500-8739
Fax: (323) 500-0957

The enumeration date for this NPI number is 9/9/2018 and was last updated on 9/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F02180415	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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