Malinda Manzo, APN is a
Nurse Practitioner - Pediatrics based in Eads, Tennessee. Malinda Manzo is licensed to practice in Tennessee (license number 011741) and her current practice location is
3161 Highway 64, Suite 100, Eads, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 252-6034.
NPI number for Malinda Manzo is 1962663849 and her current mailing address is 2860 Covington Pike, Memphis, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962663849.
Provider's Profile
Full Name | Malinda Manzo |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 3161 Highway 64, Eads, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962663849
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Malinda Manzo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962663849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 011741 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malinda Manzo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Malinda Manzo, APN 2860 Covington Pike, Memphis, TN 38128-8090 Ph: (901) 252-6034 | Malinda Manzo, APN 3161 Highway 64, Suite 100, Eads, TN 38028-3021 Ph: (901) 252-6034 |
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