Individual
MANITA SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
(877) 485-8918
Mailing address
29749 PICANA LN FL 2, WESLEY CHAPEL, FL 33543-6652
(917) 538-1546
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
305032
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00230100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904341
—
NJ
Enumeration date
04/07/2009
Last updated
11/30/2023
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