Individual provider · Type 1 NPI
Soleima Dallana Mantilla, NP
Gerontology Nurse Practitioner · Mansfield, TX
NPI number
1669183463
Active
Practice location
1900 Matlock Rd Ste 804
Mansfield, TX 76063-4455
Other practice locations
- 8110 Park Ln Apt 227, Dallas, TX 75231-6088 · (214) 763-9446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1093926 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1093926 (TX) |
Gerontology Nurse Practitioner: Definition to come...
4 other providers at this address
- Avail Health and WellnessObesity Medicine (Family Medicine) Physician Mansfield, TX NPI 1427729995
- Brandy Lynnette Yeary, MDFamily Medicine Physician Mansfield, TX NPI 1952492209
- Indyia Lacount, FNPNurse Practitioner Mansfield, TX NPI 1972255313
- La'sheah Monique Stewart, NPPrimary Care Nurse Practitioner Mansfield, TX NPI 1114318136
Other gerontology nurse practitioner providers in Mansfield
About NPI 1669183463
Soleima Dallana Mantilla, NP's National Provider Identifier is 1669183463, issued on Dec 12, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mansfield, TX. The record was last updated on Jul 5, 2023.