Individual
NICOLE MARLA MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-4870
Mailing address
PO BOX 858, CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020518
PA
363LF0000X
Family Nurse Practitioner
SP020518
PA
Other
Enumeration date
08/28/2019
Last updated
10/19/2021
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