Individual provider · Type 1 NPI
Mary Caroline E. Macam Manalo, NP
Primary Care Nurse Practitioner · Roseville, CA
NPI number
1336730571
Active
Practice location
701 Pleasant Grove Blvd #125
Roseville, CA 95678
Mailing address
6511 Nebula Ct
Rocklin, CA 95677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP95016452 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1336730571
Mary Caroline E. Macam Manalo, NP's National Provider Identifier is 1336730571, issued on Jan 31, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Roseville, CA. The record was last updated on Jan 31, 2021.