Mattingly, Rhonda L
Mattingly, Rhonda L is an individual health care provider with primary practice located at 1120 S Utica Ave Suite 2123, Tulsa OK 74104-4012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Mattingly, Rhonda L can be contacted via phone (918) 579-5402.Contact Information
Primary practice address
1120 S Utica Ave Suite 2123
Tulsa OK 74104-4012
Phone: (918) 579-5402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | R0064236 | Oklahoma |
Profile Details
| NPI number | 1235191602 |
|---|---|
| LBN Legal business name | Mattingly, Rhonda L |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 17th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235191602 | NPPES |
| Oklahoma | MEDICAID | 200100800A |
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