Craig W Manzer in Lafayette - Nurse Practitioner
Craig W Manzer - NPI 1013114164
Craig W Manzer is a Nurse Practitioner in Lafayette, Louisiana. Craig W Manzer practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Craig W Manzer is 1013114164. The last update date is 2021-05-11.
Craig W Manzer's current location address is 4630 Ambassador Caffery Pkwy Ste 302, Lafayette, Louisiana. You can contact this provider via phone number 3374703580 and fax number 3374703586. The mailing address for Craig W Manzer is 4630 Ambassador Caffery Pkwy Ste 302, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig W Manzer |
|---|---|
| Address | 4630 Ambassador Caffery Pkwy Ste 302, Lafayette, Louisiana |
| Phone Number | 3374703580 |
| Fax Number | 3374703586 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1013114164 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2021-05-11 |
Provider Mailing Address Detail
| Address | 4630 Ambassador Caffery Pkwy Ste 302 |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705086950 |
| Phone Number | 3374703580 |
| Fax Number | 3374703586 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP05317 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1348406 | LA | -- |
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What is the Craig W Manzer's unique identification number?
The Craig W Manzer has been assigned the NPI (National Provider Identifier) Number 1013114164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Craig W Manzer located?
The Craig W Manzer is located at 4630 Ambassador Caffery Pkwy Ste 302, Lafayette, LA 705086950.
What is the Craig W Manzer's specialty and taxonomy code?
The Craig W Manzer's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Craig W Manzer receive the assignment of its 1013114164 from the Centers for Medicare & Medicaid Services?
The Craig W Manzer was issued its 1013114164 by the Centers for Medicare & Medicaid Services on 2007-07-02.
As of what date was the information regarding Craig W Manzer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Craig W Manzer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-11.
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