Charlotte Manyitabot
NPI #1588440721 in Plainfield, Illinois
Provider Information
- NPI Number
- 1588440721
- Entity Type
- Individual
- Name
- Charlotte Manyitabot
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 5, 2023
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 1918 ARBOR GATE DR
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60586-5733
- Phone
- (708) 856-7096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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