MARYGRACE MANZANO AGACNP NPI 1437644770

NPI Information

  • NPI: 1437644770
  • Provider Name: MARYGRACE MANZANO, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 844 KEMPSVILLE RD STE 212
    NORFOLK, VA
    ZIP 23502
  • Phone: (757) 261-5977

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NPI Details

Marygrace Manzano, AGACNP is an acute care nurse practitioner in Norfolk, VA with 17 years of experience. Marygrace Manzano, AGACNP NPI is 1437644770. 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:

844 KEMPSVILLE RD STE 212
NORFOLK, VA
ZIP 23502-927
Phone: (757) 261-5977
Fax: (757) 275-9913

The NPI 1437644770 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Insertion of artery tube for blood sampling or infusion through skin (HCPCS:36620)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)

The enumeration date for this NPI number is 6/28/2018 and was last updated on 1/7/2022.

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
1363L00000XNurse Practitioner0024176270VIRGINIANo
2363LA2200XNurse PractitionerAdult Health0024176270VIRGINIANo
3363LC0200XNurse PractitionerCritical Care Medicine0024176270VIRGINIANo
4363LA2100XNurse PractitionerAcute Care0024176270VIRGINIAYes

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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