Marissa C Manibog, LPN
Licensed Practical Nurse in Plymouth, WI. Individual provider (NPI-1).
NPI number1730616319
StatusActive
Last updated in NPPESMay 15, 2017
Details
- NPI
- 1730616319
- Entity type
- Individual (NPI-1)
- Name
- Marissa C Manibog
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2017
- Last updated
- May 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 313088-31 | WI | Yes |
Practice location
127 Beth CirPlymouth, WI 53073-2649
Phone 920-892-7044
Mailing address
603 E Pine St Apt 8New London, WI 54961-1963
Phone 920-475-6804
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Other Licensed Practical Nurse providers in Plymouth, WI
- Jodi Lynn Brienen, L.P.NNPI 1568434504
- Randal Gereau, LPNNPI 1275825077
- Nicol OppeneerNPI 1043666761
- Christine Ann SimonNPI 1659775310
- Sarah Lynn Termaat, LPNNPI 1780085704
All 6 Licensed Practical Nurse providers in Plymouth · All 248 providers in Plymouth
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