National Provider Identifier
Mary Mantegna, RN
Mary Mantegna, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Brockport, NY and a listed phone number of (585) 637-9152.
Profile Overview
- NPI
- 1699081554
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- August 29, 2010
- Last Updated
- August 29, 2010
Practice Location
- 3380 Sweden Walker RD
- Brockport, NY 14420-9430
Phone: (585) 637-9152
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1699081554
- Entity Type
- Individual
- Last Name
- Mantegna
- First Name
- Mary
- Credential
- RN
- Mailing Street Address
- 3380 Sweden Walker RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-9430
- Mailing Country
- US
- Mailing Phone
- (585) 637-9152
- Practice Street Address
- 3380 Sweden Walker RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-9430
- Practice Country
- US
- Practice Phone
- (585) 637-9152
- Enumeration Date
- August 29, 2010
- Last Updated
- August 29, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)