Individual
VERNON MANIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
800 N GIBSON RD STE 201, HENDERSON, NV 89011-1706
(702) 616-7650
(702) 616-7820
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN002361
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN002361
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN002361
NV
Other
Enumeration date
11/28/2016
Last updated
03/04/2025
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