Active NPIIndividual provider

Suphaphorn Manela, NP-C

Nurse Practitioner, Family in Belmont, Massachusetts

NPI Number1679185284
Practice location
50 Bartlett Ave, Belmont, MA 02478-1808
Fax
—
Last updated
August 22, 2020

Suphaphorn Manela is a Nurse Practitioner, Family based in Belmont, MA. Suphaphorn Manela practices in Belmont, MA and has the professional credentials of NP-C. The NPI Number for Suphaphorn Manela is 1679185284 and holds a License No. F08200091 (MA). The current practice location address for Suphaphorn Manela is 50 Bartlett Ave, Belmont, MA 02478-1808 and can be reached out via phone at 781-354-6004.

Provider Profile Details

NPI Number
1679185284
Provider Name
Suphaphorn Manela
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
50 Bartlett Ave, Belmont, MA 02478-1808
Phone Number
781-354-6004
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2020
Last Update Date
August 22, 2020
Certification Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Bartlett Ave
Belmont, MA 02478-1808
Zip
02478-1808
Phone Number
781-354-6004
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
50 Bartlett Ave
Belmont, MA 02478-1808
City
Belmont
State
MA
Zip
02478-1808
Phone Number
781-354-6004

License Information

License Number
F08200091
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

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 Suphaphorn Manela, NP-C?

The NPI number of Suphaphorn Manela, NP-C is 1679185284. It was assigned on August 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Suphaphorn Manela, NP-C?

Suphaphorn Manela, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number F08200091.

Where does Suphaphorn Manela, NP-C practice?

The practice location is 50 Bartlett Ave, Belmont, MA 02478-1808. The office can be reached at 781-354-6004 (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 1679185284 directly on the NPPES registry website.

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