Individual provider · Type 1 NPI

Davie Marvan Manullang

Registered Nurse · Santa Ana, CA

NPI number 1316540263 Active

Practice location

1725 W 17th St
Santa Ana, CA 92706-2316

Call (951) 858-7902 Map

Mailing address

3775 Nelson St
Corona, CA 92881-0602

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95173934 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1316540263

Davie Marvan Manullang's National Provider Identifier is 1316540263, issued on Nov 20, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Santa Ana, CA. The record was last updated on Nov 20, 2020.