Active NPIIndividual providerSole proprietor

Patricia M Manjong

Nurse Practitioner, Psych/Mental Health in Lowell, Massachusetts

NPI Number1316567563
Practice location
29 Read St, Lowell, MA 01850-2513
Fax
—
Last updated
June 21, 2022

Patricia Mankeh Manjong is a Nurse Practitioner, Psych/Mental Health based in Lowell, MA. Patricia Mankeh Manjong practices in Lowell, MA. The NPI Number for Patricia Mankeh Manjong is 1316567563 and holds a License No. RN2267823 (MA). The current practice location address for Patricia Mankeh Manjong is 29 Read St, Lowell, MA 01850-2513 and can be reached out via phone at 978-328-7709.

Provider Profile Details

NPI Number
1316567563
Provider Name
Patricia Mankeh Manjong
Provider Entity Type
Individual
Gender
Female
Address
29 Read St, Lowell, MA 01850-2513
Phone Number
978-328-7709
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2020
Last Update Date
June 21, 2022
Certification Date
June 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Read St
Lowell, MA 01850-2513
City
Lowell
Zip
01850-2513
Phone Number
978-328-7709
Lowell, MA 01850Get directions →

Provider Business Mailing Address Details

Address
29 Read St
Lowell, MA 01850-2513
City
Lowell
State
MA
Zip
01850-2513
Phone Number
978-328-7709

License Information

License Number (1)
RN2267823
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
RN2267823
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Patricia M Manjong?

The NPI number of Patricia M Manjong is 1316567563. It was assigned on April 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Patricia M Manjong?

Patricia M Manjong is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2267823.

Where does Patricia M Manjong practice?

The practice location is 29 Read St, Lowell, MA 01850-2513. The office can be reached at 978-328-7709 (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 1316567563 directly on the NPPES registry website.

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