Individual provider · Type 1 NPI
Susan T. Manabo, FNP
Family Nurse Practitioner · Mission Viejo, CA
NPI number
1063437754
Active
Practice location
26455 Marsala Way
Mission Viejo, CA 92692-3264
Fax (213) 484-9939
Mailing address
1800 Wilshire Blvd
Los Angeles, CA 90057-3602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 285624-11204 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063437754
Susan T. Manabo, FNP's National Provider Identifier is 1063437754, issued on Jul 13, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mission Viejo, CA. The record was last updated on Mar 17, 2021.