Individual provider · Type 1 NPI

Mia Dominique Manipud, NP

Family Nurse Practitioner · Santa Clara, CA

NPI number 1316630403 Active

Practice location

900 Lafayette St Ste 105
Santa Clara, CA 95050-4966

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95024700 (CA)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1316630403

Mia Dominique Manipud, NP's National Provider Identifier is 1316630403, issued on Jun 2, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Clara, CA. The record was last updated on Jun 2, 2023.