Individual
ANNA MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
840 E CANYON WAY, CHANDLER, AZ 85249-5348
(480) 326-5143
Mailing address
840 E CANYON WAY, CHANDLER, AZ 85249-5348
(480) 326-5143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5299
AZ
363LF0000X
Family Nurse Practitioner
RN122732
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900365
—
AZ
Enumeration date
11/04/2013
Last updated
02/03/2020
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