Individual
MS. STEFANIE MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, FNP-BC
Contact information
Practice address
11501 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2796
(505) 814-1333
(505) 990-3437
Mailing address
11501 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2796
(505) 814-1333
(505) 990-3437
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN-70760
NM
163WH0200X
Home Health Registered Nurse
RN-70760
NM
363LF0000X
Family Nurse Practitioner
Primary
RN-70760
NM
Other
Enumeration date
08/06/2024
Last updated
04/07/2026
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