Individual provider · Type 1 NPI
Ellaine Manabat, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
NPI number
1689484412
Active
Practice location
8945 W Russell Rd Ste 110
Las Vegas, NV 89148-1225
Mailing address
3212 Azalea Ridge Ct
Henderson, NV 89052-4540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 811167 (NV) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1689484412
Ellaine Manabat, MSN, APRN, PMHNP-BC's National Provider Identifier is 1689484412, issued on Jan 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 20, 2025.