MS. MANEESHA T JOSEPH FNP NPI 1033494455

NPI Information

NPI: 1033494455
Provider Name: MS. MANEESHA T JOSEPH, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1302 FRANKLIN AVE
SUITE 3400
NORMAL, IL
ZIP 61761
Phone: (309) 556-8300
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MS. Maneesha T Joseph, FNP is a family nurse practitioner in Normal, IL. MS. Maneesha T Joseph, FNP NPI is 1033494455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1302 FRANKLIN AVE
SUITE 3400
NORMAL, IL
ZIP 61761-551
Phone: (309) 556-8300
Fax: (309) 556-8295

The NPI 1033494455 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2011 and was last updated on 3/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	041.394485	ILLINOIS	No
2	163WM0705X	Registered Nurse	Medical-Surgical	582593-1	NEW YORK	No
3	163WM0705X	Registered Nurse	Medical-Surgical	RN 9300306	FLORIDA	No
4	363LF0000X	Nurse Practitioner	Family	F336606-1	NEW YORK	No
5	363LF0000X	Nurse Practitioner	Family	209.008939	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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