Mattern, Angela Marie

Mattern, Angela Marie is an individual health care provider with primary practice located at 1814 Charlton Ct Ste A , Goshen IN 46526-6463. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mattern, Angela Marie can be contacted via phone (574) 533-2599.

Contact Information

Primary practice address
1814 Charlton Ct Ste A Goshen IN 46526-6463
Phone: (574) 533-2599
Fax: (574) 533-2681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007221A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007221A Indiana

Profile Details

NPI number 1962930180
LBN Legal business name Mattern, Angela Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2017
Last updated Mar 18th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1962930180 NPPES
Indiana MEDICAID 300004473

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