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NPI 1710330931ActiveOrganization· Nurse Practitioner· Gilbert, AZ

Nurse Practitioner in Gilbert, Arizona, registered in NPPES in July 2016. The authorized official on file is Anna Manalo, FNP-C, Ceo.

Overview

NPI1710330931
StatusActive
Entity typeOrganization
NPI issuedJul 22, 2016
Last updated in NPPESNov 1, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XAP5299AZ
Clinic/Center, Primary Care261QP2300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in Gilbert

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