Provider Demographics
NPI:1386474021
Name:MANZANARES, STEFANIE (FNP-C, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:
Last Name:MANZANARES
Suffix:
Gender:
Credentials:FNP-C, FNP-BC
Other - Prefix:MS
Other - First Name:STEFANIE
Other - Middle Name:
Other - Last Name:SAIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C, FNP-BC
Mailing Address - Street 1:8725 ALAMEDA PARK DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2475
Mailing Address - Country:US
Mailing Address - Phone:505-508-8569
Mailing Address - Fax:505-823-1051
Practice Address - Street 1:8725 ALAMEDA PARK DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2475
Practice Address - Country:US
Practice Address - Phone:505-508-8569
Practice Address - Fax:505-823-1051
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-70760363LF0000X, 163WA2000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health