Individual provider · Type 1 NPI

Maniphanh Noraky, RN, FNP-C

Primary Care Nurse Practitioner · San Diego, CA

NPI number 1174174361 Active

Practice location

4276 54th Pl Ste C
San Diego, CA 92115-6011

Call (951) 442-6787 Map

Mailing address

2402 Judson St
San Diego, CA 92111-6214

Specialties and licenses

Taxonomy	Code	License
General Practice Registered Nurse	163WG0000X	662213 (CA)
Family Nurse Practitioner	363LF0000X	F12180372 (CA)
Primary Care Nurse Practitioner Primary	363LP2300X	F12180372 (CA)

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

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Joan Balahadia, RNGeneral Practice Registered Nurse San Diego, CA NPI 1609427814

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About NPI 1174174361

Maniphanh Noraky, RN, FNP-C's National Provider Identifier is 1174174361, issued on Sep 27, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in San Diego, CA. The record was last updated on Sep 27, 2019.