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

Mrs. Stephanie Elizabeth Manulkin, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1508280595

Mrs. Stephanie Elizabeth Manulkin, FNP-BC is a Nurse Practitioner in Petaluma, California. Qualified in 2014, 12 years ago. Practices with Petaluma Health Center Inc, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone: (707) 559-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1004 Northgate Dr, San Rafael, CA 94903-2502 — (415) 590-6150

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95000298 (CA)

Record details

NPI number1508280595
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 11, 2014
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Petaluma Health Center Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Petaluma