Individual provider · Type 1 NPI

Shannon Lyn Manley, FNP-BC

Nurse Practitioner · Oakland, CA

NPI number 1780149153 Active

Practice location

3900 Piedmont Ave
Oakland, CA 94611-5352

Fax (510) 899-7101

Mailing address

3400 Data Dr, Attn: Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95010607 (CA)

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 1780149153

Shannon Lyn Manley, FNP-BC's National Provider Identifier is 1780149153, issued on Feb 9, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, CA. The record was last updated on Feb 28, 2019.