Individual provider · Type 1 NPI

Johnna Manso, MSN, CPNP-PC

Pediatric Nurse Practitioner · New York, NY

NPI number 1891285763 Active

Practice location

3959 Broadway
New York, NY 10032-1559

Mailing address

85 E 10th St Apt K
New York, NY 10003-5457

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF382856-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1891285763

Johnna Manso, MSN, CPNP-PC's National Provider Identifier is 1891285763, issued on May 15, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on May 15, 2018.