DR. NICOLE MANCHAK DNP
NPI 1811622178
Nurse Practitioner - Family in Gilbert, AZ
Active since July 20, 2022
About Dr. Nicole Manchak Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE MANCHAK DNP (NPI 1811622178) is an individual family provider in Gilbert, Arizona, licensed in Arizona (278085) and active in the NPI registry since July 2022. She maintains a secondary practice location in Tempe.
NPPES Registry Identity
NPI1811622178
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. NICOLE MANCHAKCredential: DNP
Location Address143 E GERMANN RD # B101Gilbert, AZ 85297-0607
Mailing Address426 E Southern Ave Ste 101Tempe, AZ 85282-5215 · (480) 281-7979
Phone(480) 304-0249
Sole ProprietorYes
Enumeration DateJuly 20, 2022
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1811622178 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 278085
143 E GERMANN RD # B101, Gilbert, AZ 85297
Secondary Practice Location 1
Location 1426 E Southern Ave Ste 101Tempe, AZ 85282-5215 · Phone (480) 681-7979
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811622178, enumerated as an "individual" on July 20, 2022.
The provider is located at 143 E GERMANN RD # B101 GILBERT, AZ 85297 and the phone number is (480) 304-0249.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
