Individual
MARIA VANESSA MENANTEAU
Active
Individual
MARIA VANESSA MENANTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
54521
NM
367A00000X
Advanced Practice Midwife
Primary
697
NM
367A00000X
Advanced Practice Midwife
R 192328-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419259YPD8
MEDICARE
NM
05
—
75482711
—
NM
Enumeration date
10/26/2009
Last updated
11/12/2018
Update your record
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