Individual provider · Type 1 NPI
Murugesan Manivasagam, CRNP
Acute Care Nurse Practitioner · Bel Air, MD
NPI number
1932670122
Active
Practice location
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Fax (443) 643-1505
Mailing address
2720 Sunnyside Ln
Ellicott City, MD 21043-3686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist Physician | 208M00000X | R184344 (MD) |
| Gerontology Nurse Practitioner | 363LG0600X | R184344 (MD) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | R184344 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1932670122
Murugesan Manivasagam, CRNP's National Provider Identifier is 1932670122, issued on Dec 16, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bel Air, MD. The record was last updated on Feb 17, 2022.