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Individual

MARY MANTERNACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
10500 SMITH RD, DENVER, CO 80239-3232
(720) 913-3600
Mailing address
3502 TENNYSON ST, DENVER, CO 80212-1912
(317) 828-5205

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0996673-NP
CO

Other

Enumeration date
11/01/2021
Last updated
11/01/2021
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