Individual
DIANA MARGARITA MANJARRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1050 SHILOH RD NW STE 310, KENNESAW, GA 30144-8100
(470) 523-9422
(470) 523-9432
Mailing address
1050 SHILOH RD NW STE 310, KENNESAW, GA 30144-8100
(470) 523-9422
(470) 523-9432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN244509
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN244509
GA
Other
Enumeration date
02/26/2022
Last updated
12/09/2023
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