Individual provider · Type 1 NPI
Theresa Laura Mantle, ARNP
Women's Health Nurse Practitioner · Sanford, FL
NPI number
1760875124
Active
Practice location
4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | ARNP1842852 (FL) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1760875124
Theresa Laura Mantle, ARNP's National Provider Identifier is 1760875124, issued on Mar 10, 2015. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Sanford, FL. The record was last updated on Feb 15, 2017.