Individual
MARIAFE MANALANG VITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
400 SHADOW LN, STE 104, LAS VEGAS, NV 89106-4363
(702) 731-0909
(702) 826-4757
Mailing address
8936 SPANISH RIDGE AVE, LAS VEGAS, NV 89148-1354
(702) 998-2816
(702) 998-2991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001475
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629314786
—
NV
Enumeration date
12/18/2012
Last updated
10/08/2019
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