Individual provider · Type 1 NPI
Benjamin Morales Manacop Iii
Psychiatric/Mental Health Nurse Practitioner · Colton, CA
NPI number
1750152344
Active
Practice location
1007 E Cooley Dr Ste 103
Colton, CA 92324-3901
Fax (909) 219-5336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95030284 (CA) |
| Oncology Registered Nurse | 163WX0200X | 631790 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1750152344
Benjamin Morales Manacop Iii's National Provider Identifier is 1750152344, issued on Jan 11, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Colton, CA. The record was last updated on Jan 12, 2026.