Individual
ERIN MANANSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1945 US HIGHWAY 22 W, UNION, NJ 07083-8317
(908) 624-9665
Mailing address
96 PROSPECT ST, NUTLEY, NJ 07110-3143
(201) 546-0286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14939000
NJ
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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