Era Louise Mattingly, APN

NPI #1033670062 in Marion, Illinois

Provider Information

NPI Number
1033670062
Entity Type
Individual
Name
Era Louise Mattingly, APN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
APN
Enumeration Date
Mar 31, 2019
Last Updated
Mar 31, 2019

Practice Location

Address
11522 WHITE PINE AVE
City
Marion
ZIP Code
62959-8379
Phone
(618) 889-4834

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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