Susan M Randall-Mantella, RNNP
Susan M Randall-Mantella, RNNP is a Family Nurse Practitioner in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
4117 Medical Center Dr Pod CFayetteville, NY 13066-6600
Phone: (315) 329-4975
Fax: (315) 329-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F330714 (NY) |
|---|
Record details
| NPI number | 1457314650 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RNNP |
| Sole proprietor | No |
| NPI enumerated | April 10, 2006 |
| Last updated in NPPES | November 23, 2011 |
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