Provider Demographics
NPI:1568960821
Name:MANISCALCO, FRANCES MARIE (AGAC-CRNP, MSN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:MARIE
Last Name:MANISCALCO
Suffix:
Gender:F
Credentials:AGAC-CRNP, MSN, BSN
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:MARIE
Other - Last Name:HOLLUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 INDUSTRIAL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1648
Mailing Address - Country:US
Mailing Address - Phone:610-647-2400
Mailing Address - Fax:610-647-3902
Practice Address - Street 1:2 INDUSTRIAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1648
Practice Address - Country:US
Practice Address - Phone:610-647-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018409363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner