Individual provider · Type 1 NPI
Susan Tome-Manjarrez, ARNP
Adult Health Nurse Practitioner · Miami, FL
NPI number
1104996461
Active
Practice location
1611 NW 12th Ave
Miami, FL 33136-1005
Mailing address
3813 SW 165th Ter
Miramar, FL 33027-4618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2683952 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN2683952 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1104996461
Susan Tome-Manjarrez, ARNP's National Provider Identifier is 1104996461, issued on Nov 8, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Miami, FL. The record was last updated on Jun 19, 2024.