# MANUELA BERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063070308
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | AP139884 | TX | Yes |

## Other

- **Enumeration date:** 06/02/2019
- **Last updated:** 12/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00295N | MEDICARE GROUP\# | TX |
| 01 | — | 1063070308 | INDIVIDUAL NPI\# | TX |
| 01 | — | 1508813494 | GROUP/BILLING NPI\# | TX |
| 01 | — | 193200000X | GROUP TAXONOMY | TX |
| 01 | — | 363LF0000X | INDIVIDUAL TAXONOMY | TX |
| 01 | — | 741833622 | GROUP TAX ID\# | TX |
| 01 | — | AP139884 | NURSE PRACTITIONER LICENSE\# | TX |