Individual provider · Type 1 NPI

Mario Gavan Manacci, RN, BSN

Acute Care Nurse Practitioner · Cleveland, OH

NPI number 1235609934 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

17819 Auburn Rd
Chagrin Falls, OH 44023-6130

Other practice locations

  • 11100 Euclid Ave, Cleveland, OH 44106-1716 · (440) 708-4721

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.428670 (OH)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.024360 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1235609934

Mario Gavan Manacci, RN, BSN's National Provider Identifier is 1235609934, issued on Nov 26, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cleveland, OH. The record was last updated on Mar 6, 2019.