Provider Demographics
NPI:1770462418
Name:MANAHAN, FRANCHESKA PAULINE REYES (AGNP-C)
Entity type:Individual
Prefix:
First Name:FRANCHESKA PAULINE
Middle Name:REYES
Last Name:MANAHAN
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1586 SUMNEYTOWN PIKE
Mailing Address - Street 2:PO BOX 198
Mailing Address - City:KULPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19443
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1586 SUMNEYTOWN PIKE
Practice Address - Street 2:PO BOX 198
Practice Address - City:KULPSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19443
Practice Address - Country:US
Practice Address - Phone:203-497-3861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033095363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner