Individual
MRS. AGNES MACALINAO MANALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3940 N. MARTIN LUTHER KING BLVD, STE 105B, NORTH HILLS, NV 89032
(702) 731-0909
(027) 241-9787
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
APRN001534
NV
363LF0000X
Family Nurse Practitioner
NP 22752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801238241
—
NV
Enumeration date
07/26/2013
Last updated
10/09/2019
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