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MARISSA C MANIBOG LPN
NPI 1730616319
Licensed Practical Nurse in Plymouth, WI

Active since May 15, 2017
127 BETH CIR, PLYMOUTH, WI 53073(920) 892-7044 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa C Manibog Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA C MANIBOG LPN (NPI 1730616319) is an individual licensed practical nurse in Plymouth, Wisconsin, licensed in Wisconsin (313088-31) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1730616319
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARISSA C MANIBOGCredential: LPN
Location Address127 BETH CIRPlymouth, WI 53073-2649
Mailing Address603 E Pine St Apt 8New London, WI 54961-1963 · (920) 475-6804
Phone(920) 892-7044
Sole ProprietorYes
Enumeration DateMay 15, 2017
✔ NPI 1730616319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 313088-31
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
127 BETH CIR, Plymouth, WI 53073
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA KAMPHUIS R.N.
Registered Nurse
127 BETH CIR
PLYMOUTH, WI 53073
Sheboygan County (920) 838-2152
RANDAL GEREAU LPN
Licensed Practical Nurse
127 BETH CIR
PLYMOUTH, WI 53073
Sheboygan County (920) 892-7044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Manibog's NPI number?

The NPI number for Marissa Manibog is 1730616319. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Marissa Manibog located?

Marissa Manibog practices at 127 Beth Cir, Plymouth, WI 53073. The listed phone number is (920) 892-7044.

What is Marissa Manibog's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marissa Manibog was last updated on May 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.