Individual provider · Type 1 NPI

Nicole Anne Mantilla, PA-C

Physician Assistant · Wilmington, NC

NPI number 1295341667 Active

Practice location

2909 Market St
Wilmington, NC 28403-1221

Mailing address

7430 Cordoba Cir Apt 206
Leland, NC 28451-2540

Other practice locations

  • 1809 Glen Meade Rd, Wilmington, NC 28403-6022 · (910) 763-9833

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

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About NPI 1295341667

Nicole Anne Mantilla, PA-C's National Provider Identifier is 1295341667, issued on Sep 21, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilmington, NC. The record was last updated on Mar 17, 2026.