Individual provider · Type 1 NPI

Ashima Mannan, NP

Nurse Practitioner · Waltham, MA

NPI number 1134538879 Active

Practice location

128 Willow St
Waltham, MA 02453-8329

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X259466 (MA)
Gerontology Nurse Practitioner 363LG0600X259466 (MA)

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 1134538879

Ashima Mannan, NP's National Provider Identifier is 1134538879, issued on Aug 6, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waltham, MA. The record was last updated on Aug 6, 2014.