Provider Demographics
NPI:1821348566
Name:MANRIQUE-APARICIO, HEYDI KATERINA (NP)
Entity type:Individual
Prefix:MRS
First Name:HEYDI
Middle Name:KATERINA
Last Name:MANRIQUE-APARICIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:HEYDI
Other - Middle Name:KATERINA
Other - Last Name:APARICIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, FNP-BC, RN
Mailing Address - Street 1:675 CAMINO DE LOS MARES STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-2836
Mailing Address - Country:US
Mailing Address - Phone:499-259-2790
Mailing Address - Fax:855-808-2094
Practice Address - Street 1:675 CAMINO DE LOS MARES STE 302
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-2836
Practice Address - Country:US
Practice Address - Phone:949-259-2790
Practice Address - Fax:855-808-2094
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21971363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily