MARYGRACE MANZANO

NORFOLK, VA
NPI1437644770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  0024176270)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: VA  0024176270)
363LA2200X Nurse Practitioner, Adult Health
(Licence: VA  0024176270)
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: VA  0024176270)
Enumeration Date2018-06-28
Last Update Date2022-01-07
Business Address
MARYGRACE MANZANO AGACNP
844 KEMPSVILLE RD STE 212
NORFOLK, VA 23502-3927
Phone number: 757-261-5977
Mailing Address
MARYGRACE MANZANO AGACNP
844 KEMPSVILLE RD STE 212
NORFOLK, VA 23502-3927
Phone number: 757-261-5977