Dina Lin Mattingly

NPI #1023600871 in Boise, Idaho

Provider Information

NPI Number
1023600871
Entity Type
Individual
Name
Dina Lin Mattingly
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Feb 3, 2021
Last Updated
Feb 3, 2021

Practice Location

Address
6933 W EMERALD ST
City
Boise
State
Idaho
ZIP Code
83704-8616
Phone
(858) 207-8790

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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