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Search › Virginia › 363LA2100X

Marygrace Manzano, AGACNP

NPI 1437644770 · on the registry since 2018 · sole proprietor

Practice

Address
844 Kempsville Rd Ste 212
Norfolk, VA 23502
Phone
(757) 261-5977
Fax
(757) 275-9913
Organisation at this address
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
83

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363L00000X
363LA2200X
363LC0200X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia