ANDREA BEVERLY MANACO NPI 1750723128

NPI Information

  • NPI: 1750723128
  • Provider Name: ANDREA BEVERLY MANACO
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 76 PHOENIX ST
    CANANDAIGUA, NY
    ZIP 14424
  • Phone: (585) 831-3968

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NPI Details

Andrea Beverly Manaco is a licensed practical nurse in Canandaigua, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Andrea Beverly Manaco NPI is 1750723128. 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:

76 PHOENIX ST
CANANDAIGUA, NY
ZIP 14424-025
Phone: (585) 831-3968

The enumeration date for this NPI number is 7/25/2013 and was last updated on 7/25/2013.

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
1164W00000XLicensed Practical Nurse288948-1NEW YORKYes

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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