# JOAN MARIE MANZELLA

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

## Provider details

- **NPI number:** 1861857039
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | N-51475 | ID | — |
| 363L00000X | Nurse Practitioner | AP60892172 | WA | Yes |
| 363L00000X | Nurse Practitioner | APRN-4039 | HI | — |
| 363LF0000X | Family Nurse Practitioner | A005021 | AR | — |
| 363LF0000X | Family Nurse Practitioner | APRN-4039 | HI | — |
| 363LF0000X | Family Nurse Practitioner | NP-1679A | ID | — |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 04/30/2025