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Individual

JOAN MARIE MANZELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
143 GARDEN HOMES DR, COLVILLE, WA 99114
(509) 684-3701
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 684-3701
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-51475
ID
363L00000X
Nurse Practitioner
Primary
AP60892172
WA
363L00000X
Nurse Practitioner
APRN-4039
HI
363LF0000X
Family Nurse Practitioner
A005021
AR
363LF0000X
Family Nurse Practitioner
APRN-4039
HI
363LF0000X
Family Nurse Practitioner
NP-1679A
ID

Other

Enumeration date
12/15/2015
Last updated
04/30/2025
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