Individual
MANJOT SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP STUDENT
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2385
(360) 414-2386
Mailing address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN61035237
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61301707
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/16/2021
Last updated
06/10/2023
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