NPI 1003048901

Laura Manigo, PACMMS

Practitioner Medical Physician Assistant Phoenix, AZ

Practice location

Address: 6135 N 35th Ave STE 117, Phoenix, AZ 85017-1951
Phone: (480) 677-8282
Mailing address: 261 N Roosevelt Ave, Chandler, AZ 85226-2617

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 9672 (AZ)

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Registry record

NPI: 1003048901
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2009
Record last updated: 13 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.