MRS. DEANNA MANTLE
Nurse Practitioner - Family
Active
Individual
NPI: 1194117671
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 2008020776 (MO) |
Frequently Asked Questions
NPI 1194117671 is the National Provider Identifier for MRS. DEANNA MANTLE, a Nurse Practitioner - Family provider located in Jefferson City, MO. This NPI was enumerated on February 20, 2015.
MRS. DEANNA MANTLE practices at 1125 MADISON ST, Jefferson City, MO 65101.
Quick Facts
- NPI
- 1194117671
- Type
- Individual
- Enumerated
- Feb 20, 2015
- Last Updated
- Feb 20, 2015
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