Individual provider · Type 1 NPI
Lauren B. Mantikas
Nurse Practitioner · Boston, MA
Practice location
55 Fruit Street
Boston, MA 02241-9095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN2351883 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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- Michele Kohrman, NP, MPHNurse Practitioner Boston, MA NPI 1003596321
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About NPI 1992677397
Lauren B. Mantikas's National Provider Identifier is 1992677397, issued on Sep 23, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jan 13, 2026.