Individual
KOURTNEY MANTYLA-MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4 BROTHERTON WAY, AUBURN, MA 01501-2684
(508) 721-1199
(508) 453-8019
Mailing address
4 BROTHERTON WAY, AUBURN, MA 01501-2684
(508) 721-1199
(508) 453-8019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2357348
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110209614A
—
MA
Enumeration date
06/28/2023
Last updated
11/11/2024
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