Individual
JENNY ANN MANAGBANAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1969 W. HART ROAD, BELOIT MEMORIAL HOSPITAL, BELOIT, WI 53511-2230
(608) 364-5011
(608) 364-5593
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-012264
IL
363L00000X
Nurse Practitioner
Primary
6250-33
WI
Other
Enumeration date
02/04/2015
Last updated
02/25/2015
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