Individual provider · Type 1 NPI

Marissa C. Manibog, LPN

Licensed Practical Nurse · Plymouth, WI

NPI number 1730616319 Active

Practice location

127 Beth Cir
Plymouth, WI 53073-2649

Call (920) 892-7044 Map

Mailing address

603 E Pine St Apt 8
New London, WI 54961-1963

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	313088-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2 other providers at this address

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About NPI 1730616319

Marissa C. Manibog, LPN's National Provider Identifier is 1730616319, issued on May 15, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth, WI. The record was last updated on May 15, 2017.