Shrestha, Manita

Shrestha, Manita is an individual health care provider with primary practice located at 550 Broad St Ste 606 , Newark NJ 07102-4537. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shrestha, Manita can be contacted via phone (201) 822-1161.

Contact Information

Primary practice address
550 Broad St Ste 606 Newark NJ 07102-4537
Phone: (201) 822-1161
Fax: (877) 485-8918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00230100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 305032 New York

Profile Details

NPI number 1063655066
LBN Legal business name Shrestha, Manita
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2009
Last updated Nov 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063655066 NPPES
New Jersey MEDICAID 0904341

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