MRS. Deanna Marie Mantle
NPI #1194117671 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1194117671
- Entity Type
- Individual
- Name
- MRS. Deanna Marie Mantle
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 20, 2015
- Last Updated
- Feb 20, 2015
Practice Location
- Address
- 1125 MADISON ST
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-5227
- Phone
- (573) 632-5581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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