Individual
MRS. MARIA SCHMITT MANTENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(434) 409-1033
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5009147
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
11829304-4405
UT
Other
Enumeration date
12/07/2016
Last updated
11/20/2021
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