SUSAN RANDALL-MANTELLA, RNNP

Nurse Practitioner - Family

Active Individual
NPI: 1457314650

Practice Address

4117 MEDICAL CENTER DR
POD C
Fayetteville, NY 13066

Phone: (315) 329-4975

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes F330714 (NY)

Frequently Asked Questions

NPI 1457314650 is the National Provider Identifier for SUSAN RANDALL-MANTELLA, RNNP, a Nurse Practitioner - Family provider located in Fayetteville, NY. This NPI was enumerated on April 10, 2006.
SUSAN RANDALL-MANTELLA, RNNP practices at 4117 MEDICAL CENTER DR, POD C, Fayetteville, NY 13066.

Quick Facts

NPI
1457314650
Type
Individual
Enumerated
Apr 10, 2006
Last Updated
Nov 23, 2011

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