Doctor Name: | MANASSEH ANDREA CHIBWE |
NPI Number: | 1164847760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC, MSN, BSN, RN |
License Number: | TAPRN700970 |
Business Practice Address: | 213 S Whitacre St Yerington, NV - 894472561 |
Business Phone Number: | 7754632301 |
Business Fax Number: | |
Mailing Address: | 213 S Whitacre St, YERINGTON |
State: | NV |
Postal Code: | 894472561 |
Phone Number: | 7754632301 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2014 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | TAPRN700970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |