MS. MARISSA MENDOZA MANZANO
NPI 1245911759
Licensed Vocational Nurse in Elk Grove, CA

Active since July 27, 2023
8563 MELVILLE DR, ELK GROVE, CA 95758(916) 752-5280 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Vocational Nurse

About MARISSA MANZANO

This page provides the complete NPI Profile along with additional information for Marissa Manzano, a provider established in Elk Grove, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1245911759 assigned on July 2023. The practitioner's primary taxonomy code is 164X00000X with license number 293510 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1245911759 Verify this NPI
Provider Name
MS. MARISSA MENDOZA MANZANO
Gender
Female
Entity Type
Individual
Location Address
8563 MELVILLE DR ELK GROVE, CA 95758
Location Phone
(916) 752-5280
Mailing Address
8563 MELVILLE DR ELK GROVE, CA 95758
Mailing Phone
(916) 752-5280
Is Sole Proprietor?
Yes
Enumeration Date
07-27-2023
Last Update Date
07-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
293510
License State
CA
Taxonomy Description
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245911759, enumerated as an "individual" on July 27, 2023.

The provider is located at 8563 MELVILLE DR ELK GROVE, CA 95758 and the phone number is (916) 752-5280.

Licensed Vocational Nurse with taxonomy code 164X00000X.