MARY CAROLINE E. MACAM MANALO NP NPI 1336730571

NPI Information

NPI: 1336730571
Provider Name: MARY CAROLINE E. MACAM MANALO, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
701 PLEASANT GROVE BLVD #125
ROSEVILLE, CA
ZIP 95678
Phone: (916) 784-7700
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Mary Caroline E. Macam Manalo, NP is a primary care nurse practitioner in Roseville, CA. Mary Caroline E. Macam Manalo, NP NPI is 1336730571. 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:

701 PLEASANT GROVE BLVD #125
ROSEVILLE, CA
ZIP 95678
Phone: (916) 784-7700

The enumeration date for this NPI number is 1/31/2021 and was last updated on 1/31/2021.

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	363LP2300X	Nurse Practitioner	Primary Care	NP95016452	CALIFORNIA	Yes

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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