Individual provider · Type 1 NPI

Elise Manzanillo, NP

Nurse Practitioner · Walnut Creek, CA

NPI number 1043095250 Active

Practice location

177 La Casa Via Ste 390
Walnut Creek, CA 94598-6101

Call (925) 677-5041 Map

Mailing address

1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	NP95029972 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043095250

Elise Manzanillo, NP's National Provider Identifier is 1043095250, issued on Aug 28, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Sep 24, 2025.