Provider Demographics
NPI:1942197827
Name:MANUBAG, MARIANNE BRIONES (NP)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:BRIONES
Last Name:MANUBAG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 ELDEN ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4842
Mailing Address - Country:US
Mailing Address - Phone:703-481-1505
Mailing Address - Fax:703-742-8793
Practice Address - Street 1:8100 ASHTON AVE STE 101
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5647
Practice Address - Country:US
Practice Address - Phone:703-527-8090
Practice Address - Fax:703-257-7822
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001311644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily