Individual provider · Type 1 NPI

Roxana Koren Manger, APN

Pediatric Nurse Practitioner · Rockford, IL

NPI number 1962988873 Active

Practice location

1200 W State St
Rockford, IL 61102-2112

Fax (815) 490-1881

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X16545-33 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962988873

Roxana Koren Manger, APN's National Provider Identifier is 1962988873, issued on Jul 13, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rockford, IL. The record was last updated on Mar 23, 2026.