Mattingly, Valerie W.

Mattingly, Valerie W. is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mattingly, Valerie W. can be contacted via phone (864) 512-1305.

Contact Information

Primary practice address
800 N Fant St Anderson SC 29621-5708
Phone: (864) 512-1305
Fax: (864) 512-3790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3150 South Carolina

Profile Details

NPI number 1518089804
LBN Legal business name Mattingly, Valerie W.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518089804 NPPES
South Carolina Other 570359174 TAX ID

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