Individual
MARY PAYNE MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 484-1564
Mailing address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008407
NC
363LA2200X
Adult Health Nurse Practitioner
5008407
NC
363LG0600X
Gerontology Nurse Practitioner
5008407
NC
Other
Enumeration date
05/05/2016
Last updated
12/02/2024
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