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Mr. Peter Manga
Licensed Practical Nurse in Philadelphia, Pennsylvania
NPI 1073888384

Peter Manga is a Licensed Practical Nurse based in Philadelphia, PA. Peter Manga practices in Philadelphia, PA. The NPI Number for Peter Manga is 1073888384 and holds a License No. PN289972 (Pennsylvania).

The current practice location address for Peter Manga is 2146 S Broad St, Philadelphia, PA and can be reached out via phone at 267-519-0672.

Location: 2146 S Broad St, Philadelphia, PA, 19145-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073888384
Provider Name
Peter Manga
Credential
Provider Entity Type
Individual
Gender
Male
Address
2146 S Broad St, Philadelphia, PA, 19145-3905
Phone Number
267-519-0672
Fax Number
Provider Enumeration Date
03/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2146 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19145-3905
Phone Number
267-519-0672
Fax Number
person
Provider Business Mailing Address Details
Address
2146 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19145-3905
Phone Number
267-519-0672
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN289972 (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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