| Kourtney Mantyla-murphy, NP | |
|
4 Brotherton Way, Auburn, MA 01501-2684 | |
| (508) 721-1199 | |
| (508) 453-8019 |
| Full Name | Kourtney Mantyla-murphy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4 Brotherton Way, Auburn, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942987334 | NPI | - | NPPES |
| 110209614A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2357348 (Massachusetts) | Primary |
| Entity Name | Reliant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourtney Mantyla-murphy, NP 4 Brotherton Way, Auburn, MA 01501-2684 Ph: (508) 721-1199 | Kourtney Mantyla-murphy, NP 4 Brotherton Way, Auburn, MA 01501-2684 Ph: (508) 721-1199 |
Morgan A Hill, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Brotherton Way, Auburn, MA 01501 Phone: 508-721-1170 Fax: 508-832-0859 | |
Anna Athanasopoulos, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 | |
Chrystina Maria Soloperto, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 Fax: 508-832-7670 | |
Laura Carvajal, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 489 Washington St Ste 202, Auburn, MA 01501 Phone: 508-796-9211 Fax: 508-286-6106 | |
Brandon L Gentile, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Rochdale St, Auburn, MA 01501 Phone: 508-901-0577 | |
Joanne Piecka, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 Fax: 508-832-7670 | |
Carol J Walsh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 319 Southbridge St, Auburn, MA 01501 Phone: 508-832-9646 Fax: 508-832-7862 |