Individual provider · Type 1 NPI
Somphet Took Manivong, CNP
Nurse Practitioner · Cleveland, OH
Practice location
10701 East Blvd 111 E (w)
Cleveland, OH 44106-1702
Fax (216) 231-3447
Mailing address
10701 East Blvd
Cleveland, OH 44106-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | COA.08126-NP (OH) |
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 1811076953
Somphet Took Manivong, CNP's National Provider Identifier is 1811076953, issued on Nov 2, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, OH. The record was last updated on Jul 8, 2007.