Individual provider · Type 1 NPI
Mankaa Vifansi
Psychiatric/Mental Health Nurse Practitioner · Waukegan, IL
NPI number
1104662121
Active
Practice location
3010 Grand Ave Fl 1
Waukegan, IL 60085-2321
Fax (847) 984-5602
Mailing address
10505 Corporate Dr Ste 105G
Pleasant Prairie, WI 53158-1605
Other practice locations
- 10505 Corporate Dr Ste 105G, Pleasant Prairie, WI 53158-1605 · (224) 623-7883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.029951 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
5 other providers at this address
- Bryan K. ReynoldsMental Health Counselor Waukegan, IL NPI 1457222838
- Lynn Robin Kovel, RN, BSNChild & Adolescent Psychiatric/Mental Health Registered Nurse Waukegan, IL NPI 1699049817
- Melisa Y. AlbarranAddiction (Substance Use Disorder) Counselor Waukegan, IL NPI 1770167793
- Randal R. Zimpel, BSWMental Health Counselor Waukegan, IL NPI 1366717043
- William P. Jackson, MSW, LCSW, ACSWClinical Social Worker Waukegan, IL NPI 1932128865
Other psychiatric/mental health nurse practitioner providers in Waukegan
- Wendy Jahayra Miralda, RNPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1023681434
- Amy Ruth Morton-Miller, PhD, RN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1073903779
- Marisol GloverPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1497027262
- Bindu Mangat, APRNPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1578804910
- Bukola Jumoke OmotowonPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1710786264
- Karen TrutschPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1801238324
- Melissa Mae Tamondong, APRNPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1831873272
- Amy Holmgren, APRN, MPHPsychiatric/Mental Health Nurse Practitioner Waukegan, IL NPI 1841636503
About NPI 1104662121
Mankaa Vifansi's National Provider Identifier is 1104662121, issued on Jul 9, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waukegan, IL. The record was last updated on May 13, 2025.