Micaela Manganello
Preventive Medicine, Addiction Medicine in South Portland, Maine
1063384907- Practice location
- 400 Western Ave, South Portland, ME 04106-1704
- Phone
- 207-292-1306
- Fax
- —
- Last updated
- September 20, 2025
Micaela Manganello is a Preventive Medicine, Addiction Medicine based in South Portland, ME. Micaela Manganello practices in South Portland, ME. The NPI Number for Micaela Manganello is 1063384907 and holds a License No. RN72898 (ME). The current practice location address for Micaela Manganello is 400 Western Ave, South Portland, ME 04106-1704 and can be reached out via phone at 207-292-1306.
Provider Profile Details
- NPI Number
- 1063384907
- Provider Name
- Micaela Manganello
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 Western Ave, South Portland, ME 04106-1704
- Phone Number
- 207-292-1306
- Primary Taxonomy
- Preventive Medicine, Addiction Medicine · 2083A0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2025
- Last Update Date
- September 20, 2025
- Certification Date
- September 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Western Ave
South Portland, ME 04106-1704 - City
- South Portland
- State
- Maine
- Zip
- 04106-1704
- Phone Number
- 207-292-1306
Provider Business Mailing Address Details
- Address
- 50 Adams St Apt 1
Biddeford, ME 04005-2995 - City
- Biddeford
- State
- ME
- Zip
- 04005-2995
License Information
- License Number
- RN72898
- License State
- ME
- Taxonomy
- Preventive Medicine, Addiction Medicine · 2083A0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Micaela Manganello?
The NPI number of Micaela Manganello is 1063384907. It was assigned on September 20, 2025 and is currently active in the NPPES registry.
What is the specialty of Micaela Manganello?
Micaela Manganello is registered under the primary taxonomy Preventive Medicine, Addiction Medicine (code 2083A0300X), licensed in ME under license number RN72898.
Where does Micaela Manganello practice?
The practice location is 400 Western Ave, South Portland, ME 04106-1704. The office can be reached at 207-292-1306 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063384907 directly on the NPPES registry website.