SUSAN MANI FP NPI 1053394486

NPI Information

  • NPI: 1053394486
  • Provider Name: SUSAN MANI, FP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 101 E WOOD ST
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 560-6012

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NPI Details

Susan Mani, FP is a gerontology nurse practitioner in Spartanburg, SC. Susan Mani, FP NPI is 1053394486. 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:

101 E WOOD ST
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6012
Fax: (864) 560-6013

The enumeration date for this NPI number is 11/21/2005 and was last updated on 2/6/2018.

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
1363LF0000XNurse PractitionerFamilyRN086518ARIZONANo
2363LG0600XNurse PractitionerGerontology18325SOUTH CAROLINAYes

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
1NP2764MEDICAIDSOUTH CAROLINA
2367690MEDICAIDARIZONA

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: 11/21/2025

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