Individual
ANDREA MANTIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
800 LINDEN ST, SCRANTON, PA 18510-4694
(570) 941-6112
Mailing address
17 E SAYLOR AVE, PLAINS, PA 18702-2709
(570) 824-1460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP005805B
PA
Other
Enumeration date
03/22/2007
Last updated
10/10/2007
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