Individual
MARTHA SHAMY MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
300 SUMMIT ST, HARTFORD, CT 06106-3100
(860) 297-2018
(860) 297-2020
Mailing address
300 SUMMIT ST, HARTFORD, CT 06106-3100
(860) 297-2018
(860) 297-2020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
003623
CT
363LF0000X
Family Nurse Practitioner
Primary
003623
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023694
—
CT
Enumeration date
08/15/2007
Last updated
03/16/2016
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