Provider Demographics
NPI:1457136848
Name:MANUGUERRA, THOMAS RYAN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:RYAN
Last Name:MANUGUERRA
Suffix:
Gender:M
Credentials:APRN-CNP
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Mailing Address - Street 1:2452 GLEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4703
Mailing Address - Country:US
Mailing Address - Phone:419-239-7585
Mailing Address - Fax:
Practice Address - Street 1:1200 EVERETT DR # 8NP8305
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5047
Practice Address - Country:US
Practice Address - Phone:405-271-5211
Practice Address - Fax:405-271-2945
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2025-11-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK223577363L00000X
OHAPRN.CNP.0034766363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care