Krisola Del Valle Marcano Manzanero, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN256861 Issued in GA

Practice address

4306 N Shallowford Rd Apt 1421
Atlanta, GA 30341-1157

Phone

(678) 933-2833

NPI assigned

May 1, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962937706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 N SHALLOWFORD RD APT 1421",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411157",
            "telephone_number": "678-933-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 N SHALLOWFORD RD APT 1421",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411157",
            "telephone_number": "678-933-2833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5670 Peachtree Dunwoody Rd",
            "address_2": "Ste 1280",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421699",
            "country_code": "US",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCANO MANZANERO",
        "first_name": "KRISOLA",
        "middle_name": "DEL VALLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN256861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelima V Marada, MD
• Isha A Marah
• Mary Beth Marandola-Kenvin, RPH
• Destinee Marbley, RBT
• William A. Marbury, PAA
• Flore Benchette Marcelin
• Marcus Marcelin, MD
• Paige Marcelline
• Christina Marcelus, MD
• Barbara Lee March, RN

• Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.