Individual provider · Type 1 NPI
Audra Mancuso, NP
Gerontology Nurse Practitioner · Westtown, NY
NPI number
1689099335
Active
Practice location
201 Dawn Dr
Westtown, NY 10998-2826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 3783723 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | SP035997 (PA) |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN784970 (PA) |
| Critical Care Medicine Registered Nurse | 163WC0200X | 26NR21805900 (NJ) |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ15567200 (NJ) |
| Critical Care Medicine Registered Nurse | 163WC0200X | 668458 (NY) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1689099335
Audra Mancuso, NP's National Provider Identifier is 1689099335, issued on Mar 4, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Westtown, NY. The record was last updated on May 27, 2026.