| Doctor Name: | MRS. NANCY RAE MANTINI |
| NPI Number: | 1790768398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | TP000195A |
| Business Practice Address: | 882 E Brady Rd Cowansville, PA - 162181316 |
| Business Phone Number: | 7245485605 |
| Business Fax Number: | 7245437425 |
| Mailing Address: | 1036 Water St, MANORVILLE |
| State: | PA |
| Postal Code: | 16238 |
| Phone Number: | 7247639786 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | TP000195A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |