# MANIPHANH NORAKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174174361
- **Gender:** F
- **Credential:** RN, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 662213 | CA | — |
| 363LF0000X | Family Nurse Practitioner | F12180372 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | F12180372 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2019
- **Last updated:** 09/27/2019