Mattise, Dorothy L
Mattise, Dorothy L is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1352. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Mattise, Dorothy L can be contacted via phone (208) 367-6416.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | N7765 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RNA120 | Idaho |
Profile Details
NPI number | 1457306870 |
---|---|
LBN Legal business name | Mattise, Dorothy L |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Apr 7th, 2011 - about 13 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 | 1457306870 | NPPES |
Idaho | MEDICAID | 004378300 |
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Coscia, Karen
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