Individual
ANDREA K MANTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CNP021484
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.021484
OH
Other
Enumeration date
09/24/2018
Last updated
03/18/2021
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