Provider Demographics
NPI:1144110016
Name:VIRK, MANPRIT (RN, MSN-CNL, CDCES)
Entity type:Individual
Prefix:
First Name:MANPRIT
Middle Name:
Last Name:VIRK
Suffix:
Gender:F
Credentials:RN, MSN-CNL, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29060 EDEN SHORES DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1353
Mailing Address - Country:US
Mailing Address - Phone:510-449-6347
Mailing Address - Fax:
Practice Address - Street 1:29060 EDEN SHORES DR
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1353
Practice Address - Country:US
Practice Address - Phone:510-449-6347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA790017163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator