Individual provider · Type 1 NPI

Peter Maanao Jr., NP

Nurse Practitioner · Carmichael, CA

NPI number 1154026425 Active

Practice location

6555 Coyle Ave Ste 260
Carmichael, CA 95608-0312

Fax (916) 536-2029

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP95035589 (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 1154026425

Peter Maanao Jr., NP's National Provider Identifier is 1154026425, issued on Apr 4, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carmichael, CA. The record was last updated on Dec 1, 2025.