Addicott, Mattie
Addicott, Mattie is an sole proprietor health care provider with primary practice located at 7611 Venice Heights Dr Ne Apt Suite , Warren OH 44484-1505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Addicott, Mattie can be contacted via phone (330) 984-8415.Contact Information
Primary practice address
7611 Venice Heights Dr Ne Apt Suite
Warren OH 44484-1505
Phone: (330) 984-8415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN.CNP.0030659 | Ohio |
Profile Details
| NPI number | 1487308318 |
|---|---|
| LBN Legal business name | Addicott, Mattie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2022 |
| Last updated | Feb 9th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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