Individual provider · Type 1 NPI

Manisha Nidamarthy

Primary Care Nurse Practitioner · Camden, NJ

NPI number 1366176398 Active

Practice location

1000 Atlantic Ave
Camden, NJ 08104-1132

Fax (856) 246-3528

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1366176398 (NJ)
Primary Care Nurse Practitioner Primary 363LP2300X1366176398 (NJ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1366176398

Manisha Nidamarthy's National Provider Identifier is 1366176398, issued on Jul 14, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Camden, NJ. The record was last updated on Nov 21, 2022.