MS. THERESA LAURA MANTLE


Address: 4930 E Lake Mary Blvd, Sanford, FL 32771-5003
Phone: 4073228645

MS. THERESA LAURA MANTLE (NPI# 1760875124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760875124
Entity Type Individual
Full Name MS. THERESA LAURA MANTLE
Credential ARNP
Practice Address 4930 E Lake Mary Blvd
Sanford
FL 32771-5003
Practice Telephone 4073228645
Mailing Telephone 4073228645
Enumeration Date 2015-03-10
Last Update Date 2017-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
ARNP1842852 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4930 E LAKE MARY BLVD
City SANFORD
State FL
Zip Code 32771-5003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912901497 Hector Octaviani Pediatrics 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2005-06-13
1093349433 Marcell Bailey Nurse Practitioner 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2020-02-25
1174157614 Gloria Isabel Torrens Nurse Practitioner 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2020-02-24
1720627300 Wendy Joseph Family Medicine 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2019-12-31
1942706585 Allison Conley Nurse Practitioner 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2018-04-03
1215435151 Candace Folch Physician Assistant 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2018-01-25
1083093355 Kimcheree Jackson Nurse Practitioner 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2015-05-20
1134514870 Myra White Advanced Practice Midwife 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2015-03-31
1700291176 Luisa Ozema Mena General Practice 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2014-06-24
1376953836 Emma M Herrera General Practice 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 2014-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134695224 Sheena L Grayson Pharmacist 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 2018-10-16
1699284299 Christopher Ryan King Chiropractor 1026 Old England Loop, Sanford, FL 32771 2017-09-26
1669991345 Scarlett Sierra Counselor 401 W Seminole Blvd, Sanford, FL 32771 2017-09-14
1881132249 Tracy Shibla Nurse Practitioner 2320 Retreat View Cir, Sanford, FL 32771 2017-02-06
1205387206 Tabitha Boyd Behavior Technician 4136 Geranium Ln #102, Sanford, FL 32771 2016-10-14
1104275874 Jessica Willis Nurse Anesthetist, Certified Registered 108 Temple Dr, Sanford, FL 32771 2016-06-03
1013379957 Bai Medical LLC Point of Service 580 Lexington Green Lane, Sanford, FL 32771 2016-03-21
1710347851 Melissa T Ramsawak Nurse Practitioner 4930 East Lake Mary Boulevard, Sanford, FL 32771 2016-03-02
1811394570 Tanesha Burns Counselor 209 San Carlos Ave Ste 111a, Sanford, FL 32771 2014-11-24
1053717322 Amy Hertz, Dmd and Minta Lopez-torres, Dmd Dentist 5030 West Sr 46, Suite 1018, Sanford, FL 32771 2014-11-13
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669411641 Patricia A Fairall Nurse Practitioner 886 Main St, Sanford, ME 04073-7008 2006-06-06
1003051418 Molly Jean Crossman Nurse Practitioner 1140 Carthage St, Sanford, NC 27330-4161 2008-12-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861005464 Sharon Resto Nurse Practitioner 16206 Breckinmore Ln, Tampa, FL 33625-1004 2020-08-25
1346863552 Danielle Selig Jaeger Nurse Practitioner 27 Flowertree Dr, Ormond Beach, FL 32174-3091 2020-05-21
1568096550 Denise Nicely Nurse Practitioner 5100 Station Way, Sarasota, FL 34233-3221 2020-02-27
1104450592 Kionna Sadie Pitts Nurse Practitioner 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 2020-02-25
1720610090 Patricia Rivero Nurse Practitioner 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 2020-02-05
1215567524 Kristina Chardon Nurse Practitioner 11500 University Blvd Ste B, Orlando, FL 32817-2197 2020-01-26
1962043554 Marcel Bernadette Nagel Nurse Practitioner 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 2019-10-04
1336798412 Vicky Arlene Smith Nurse Practitioner 501 Pointe Allyson Way, Orlando, FL 32825-5973 2019-09-10
1003476011 Angela Marie Bumpus Nurse Practitioner 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 2019-06-20
1396301230 Mary Elizabeth Buie Nurse Practitioner 5457 Baldwin Park St, Orlando, FL 32814-6749 2019-05-16
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Competitor

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City SANFORD
Zip Code 32771

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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