Individual
ERICA REEVES MANISCALCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-P
Contact information
Practice address
5000 BEE CAVE RD STE 104, WEST LAKE HILLS, TX 78746-5254
(512) 600-3121
Mailing address
5000 BEE CAVE RD STE 104, WEST LAKE HILLS, TX 78746-5254
(512) 600-3121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
767755
TX
Other
Enumeration date
01/11/2008
Last updated
01/18/2011
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