Individual
MANDY TARANTINO BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
66 LAKE CONCORD RD NE, CONCORD, NC 28025-3057
(704) 403-7720
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300275
NC
363LP0200X
Pediatric Nurse Practitioner
300275
NC
Other
Enumeration date
10/10/2006
Last updated
01/23/2026
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