Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shirley Ribeiro de Souza Manetta, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1225905110

Shirley Ribeiro de Souza Manetta, PMHNP-BC is a Nurse Practitioner in Winter Park, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1573 W Fairbanks Ave Ste 100
Winter Park, FL 32789-4679
Phone: (407) 896-8097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 E Rollins St, Orlando, FL 32803-1248 — (407) 303-1704

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11043176 (FL)

Record details

NPI number1225905110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 23, 2025
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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