Individual
FREDERIC MANIRAHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, SUITE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081
Mailing address
120 E WINONA CIR, NORWOOD, PA 19074-1123
(215) 715-7987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
703160
PA
163W00000X
Registered Nurse
L1-0074494
DE
363L00000X
Nurse Practitioner
LP-0010813
DE
363LA2100X
Acute Care Nurse Practitioner
SP030025
PA
363LA2200X
Adult Health Nurse Practitioner
LP-0010813
DE
363LF0000X
Family Nurse Practitioner
Primary
SP026101
PA
363LG0600X
Gerontology Nurse Practitioner
LP-0010813
DE
Other
Enumeration date
06/11/2022
Last updated
05/22/2026
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