National Provider Identifier
Andrea Beverly Manaco
Andrea Beverly Manaco is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 831-3968.
Profile Overview
- NPI
- 1750723128
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 25, 2013
- Last Updated
- July 25, 2013
Practice Location
- 76 Phoenix St
- Canandaigua, NY 14424-2025
Phone: (585) 831-3968
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1750723128
- Entity Type
- Individual
- Last Name
- Manaco
- First Name
- Andrea
- Middle Name
- Beverly
- Mailing Street Address
- 76 Phoenix St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2025
- Mailing Country
- US
- Mailing Phone
- (585) 831-3968
- Practice Street Address
- 76 Phoenix St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2025
- Practice Country
- US
- Practice Phone
- (585) 831-3968
- Enumeration Date
- July 25, 2013
- Last Updated
- July 25, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)