Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary P Manu

Individual provider Nurse Practitioner · NPI 1033647706

Mary P Manu is a Nurse Practitioner in Elk Grove, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

9201 Big Horn Blvd
Elk Grove, CA 95758-1240
Phone: (916) 478-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6017 Travo Way, Elk Grove, CA 95757-2800 — (916) 479-9007

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95006426 (CA)

Record details

NPI number1033647706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2017
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address9201 Big Horn Blvd, Elk Grove, CA 95758-1240

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elk Grove