Individual
COURTNEY DISTEFANO-MANOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, PCCN
Contact information
Practice address
1425 S CONGRESS AVE, DELRAY BEACH, FL 33445-6384
(954) 829-0391
Mailing address
8512 BLUE CYPRESS DR, WELLINGTON, FL 33467-6245
(929) 235-6150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11025901
FL
363LF0000X
Family Nurse Practitioner
2022092770
NY
Other
Enumeration date
03/27/2023
Last updated
01/28/2025
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