Individual provider · Type 1 NPI
Marietta Anzia Manlulu
Family Nurse Practitioner · East Meadow, NY
NPI number
1053833574
Active
Practice location
2201 Hempstead Tpke Dept Of
East Meadow, NY 11554-1859
Fax (516) 572-9486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F335129-1 (NY) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1053833574
Marietta Anzia Manlulu's National Provider Identifier is 1053833574, issued on Jul 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Meadow, NY. The record was last updated on Jul 21, 2022.