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Charlotte Manyitabot
Psychiatric/Mental Health Nurse Practitioner in Plainfield, Illinois
NPI 1588440721

Charlotte Manyitabot is a Psychiatric/Mental Health Nurse Practitioner based in Plainfield, IL and is specialized in Psychiatric/Mental Health. Charlotte Manyitabot practices in Plainfield, IL. The NPI Number for Charlotte Manyitabot is 1588440721 and holds a License No. 2023100857 (Illinois).

The current practice location address for Charlotte Manyitabot is 1918 Arbor Gate Dr, Plainfield, IL and can be reached out via phone at 708-856-7096.

Location: 1918 Arbor Gate Dr, Plainfield, IL, 60586-5733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588440721
Provider Name
Charlotte Manyitabot
Credential
Provider Entity Type
Individual
Gender
Female
Address
1918 Arbor Gate Dr, Plainfield, IL, 60586-5733
Phone Number
708-856-7096
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1918 Arbor Gate Dr
City
Plainfield
State
Illinois
Zip
60586-5733
Phone Number
708-856-7096
Fax Number
person
Provider Business Mailing Address Details
Address
1918 Arbor Gate Dr
City
Plainfield
State
Illinois
Zip
60586-5733
Phone Number
708-856-7096
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2023100857 (Illinois)
Definition
Definition to come...
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