Mattern, Holly

Mattern, Holly is an sole proprietor health care provider with primary practice located at 24276 166Th Street Airport Rd , Eagle Bute SD 57625. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mattern, Holly can be contacted via phone (605) 964-0666.

Contact Information

Primary practice address
24276 166Th Street Airport Rd Eagle Bute SD 57625
Phone: (605) 964-0666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R038851 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002442 South Dakota

Profile Details

NPI number 1922452531
LBN Legal business name Mattern, Holly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2016
Last updated Aug 5th, 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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