Individual provider · Type 1 NPI

Susan Manifold, N.P.

Nurse Practitioner · Denver, CO

NPI number 1396774121 Active

Practice location

4200 E 9th Ave
Denver, CO 80220-3706

Call (303) 372-0000 Map

Mailing address

6804 Cecelia Dr
New Port Richey, FL 34653-4935

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X140116 (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396774121

Susan Manifold, N.P.'s National Provider Identifier is 1396774121, issued on Jul 2, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Denver, CO. The record was last updated on Nov 29, 2016.