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MANNA HEALTH CARE PLLC NPI 1205521200


NPI Information

NPI: 1205521200
Provider Name: MANNA HEALTH CARE PLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2279662

Address:
1901 SOUTHEAST PKWY STE 102
ARLINGTON, TX
ZIP 76018
Phone: (682) 252-4698
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MANNA HEALTH CARE PLLC is a primary care nurse practitioner in Arlington, TX. MANNA HEALTH CARE PLLC NPI is 1205521200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1901 SOUTHEAST PKWY STE 102
ARLINGTON, TX
ZIP 76018-601
Phone: (682) 252-4698

The provider's authorized official is Margaret Naruna Badejo .
The authorized official title is Owner and has the following contact phone number (682) 252-4698.

The CLIA number assigned to this NPI record is 45D2279662 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2023 and was last updated on 4/6/2023.


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
1363LP2300XNurse PractitionerPrimary CareYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.