MASSANU ARISBE SIRLEAF ARNP NPI 1962725382

NPI Information

NPI: 1962725382
Provider Name: MASSANU ARISBE SIRLEAF, ARNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1351 BROADWAY
EL CAJON, CA
ZIP 92021
Phone: (414) 704-3022
Get Directions

Massanu Arisbe Sirleaf, ARNP is an acute care nurse practitioner in El Cajon, CA. Massanu Arisbe Sirleaf, ARNP NPI is 1962725382. 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:

1351 BROADWAY
EL CAJON, CA
ZIP 92021-811
Phone: (414) 704-3022
Fax: (619) 567-2455

The NPI 1962725382 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 3/12/2010 and was last updated on 9/28/2020.

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	363LA2100X	Nurse Practitioner	Acute Care	236467	NORTH CAROLINA	No
2	363LA2100X	Nurse Practitioner	Acute Care	5004684	NORTH CAROLINA	No
3	363LA2100X	Nurse Practitioner	Acute Care	9237954	FLORIDA	No
4	363LA2100X	Nurse Practitioner	Acute Care	95000692	CALIFORNIA	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	7005200	MEDICAID	NORTH CAROLINA
2	NP1617	MEDICAID	SOUTH CAROLINA
3	CB248737	OTHER	CALIFORNIA	MEDICARE PTAN
4	1962725382	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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