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Marissa Manibog, LPN
NPI 1730616319 · Licensed Practical Nurse · Plymouth, WI
Marissa Manibog, LPN is a Licensed Practical Nurse provider in Plymouth, WI (NPI 1730616319).
Provider details
- NPI number
- 1730616319
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 313088-31 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
127 Beth Cir
Plymouth, WI 53073-2649
Phone: (920) 892-7044
Street-level locationGet directions
Mailing address
603 E Pine St Apt 8
New London, WI 54961-1963
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2017-05-15
Frequently asked questions
- What is Marissa Manibog's NPI number?
- Marissa Manibog's National Provider Identifier (NPI) is 1730616319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Manibog's specialty?
- Marissa Manibog is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Marissa Manibog located?
- Marissa Manibog's practice location on file with NPPES is 127 Beth Cir, Plymouth, WI 53073-2649.
- What is Marissa Manibog's phone number?
- The practice phone number listed in the NPPES registry for Marissa Manibog is (920) 892-7044.
- Is Marissa Manibog's NPI active?
- Yes — Marissa Manibog's NPI (1730616319) is active in the NPPES registry as of the last update on 2017-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.