Individual provider · Type 1 NPI
Stacey Elizabeth Manohara, RN
Nurse Practitioner · Bakersfield, CA
Practice location
4580 California Ave
Bakersfield, CA 93309-1104
Mailing address
12107 Ashlyn Dr
Bakersfield, CA 93311-8401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95066883 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95016205 (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 1053926774
Stacey Elizabeth Manohara, RN's National Provider Identifier is 1053926774, issued on Sep 10, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bakersfield, CA. The record was last updated on Dec 18, 2020.