PATRICIA MANKEH MANJONG NPI 1316567563

NPI Information

NPI: 1316567563
Provider Name: PATRICIA MANKEH MANJONG
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
29 READ ST
LOWELL, MA
ZIP 01850
Phone: (978) 328-7709
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Patricia Mankeh Manjong is a psychiatric/mental health nurse practitioner in Lowell, MA with 4 years of experience. Patricia Mankeh Manjong NPI is 1316567563. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

29 READ ST
LOWELL, MA
ZIP 01850-513
Phone: (978) 328-7709

The NPI 1316567563 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 4/17/2020 and was last updated on 6/21/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2267823	MASSACHUSETTS	Yes
2	163W00000X	Registered Nurse		RN2267823	MASSACHUSETTS	No

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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