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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN M RANDALL-MANTELLA, RNNP

Active

SUSAN M RANDALL-MANTELLA, RNNP is a Family Nurse Practitioner healthcare provider located in FAYETTEVILLE, New York. NPI 1457314650 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FAYETTEVILLE, NY

Registration Details

NPI Number
1457314650
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2006 (20.163125819415 yrs)
Last Updated
Nov 23, 2011
License
F330714 (NY)

Practice Information

Address
4117 MEDICAL CENTER DR
POD C
FAYETTEVILLE, NY, 130666600
Browse NY providers · Browse ZIP 13066
Phone
3153294975
Fax
3153294970
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in FAYETTEVILLE, NY

Name Credential NPI
AUDREY A MATHIS NP 1740283829
CYNTHIA J TREMBLAY NP 1750387130
ELLEN E POWERS NP 1992756209
MARY OOT FNP 1023048048
THERESA M. SETTER APRN-BC 1114135209
MARK A PROFETTO FNP 1487852851
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.