Provider Demographics
NPI:1871741959
Name:MANNO, REBEKAH LEIGH (DNP,FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:LEIGH
Last Name:MANNO
Suffix:
Gender:F
Credentials:DNP,FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:LEIGH
Other - Last Name:SYPNIEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP,FNP-BC, PMHNP-BC
Mailing Address - Street 1:368 FELL ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5144
Mailing Address - Country:US
Mailing Address - Phone:415-861-0828
Mailing Address - Fax:415-861-0257
Practice Address - Street 1:52 DORE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3828
Practice Address - Country:US
Practice Address - Phone:415-553-3100
Practice Address - Fax:415-553-3119
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA95003309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program