PRUDENCE ASHIE MANCHO FNP-BC NPI 1891063822

NPI Information

NPI: 1891063822
Provider Name: PRUDENCE ASHIE MANCHO, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: J RICHARD LILLY MD ABFP CHTD

PECOS Registration: Yes

Address:
14221 NORTHGATE DR
SILVER SPRING, MD
ZIP 20906
Phone: (301) 807-6957
Get Directions

Prudence Ashie Mancho, FNP-BC is a family nurse practitioner in Silver Spring, MD with 20 years of experience. Prudence Ashie Mancho, FNP-BC NPI is 1891063822. 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:

14221 NORTHGATE DR
SILVER SPRING, MD
ZIP 20906-225
Phone: (301) 807-6957

The NPI 1891063822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 9/12/2012.

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	363L00000X	Nurse Practitioner		R-149483	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	2011002215	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R-149483	OTHER	MARYLAND	ADVANCE PRACTICE REGISTER NURSE

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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