Mattisson, Mariejulie C

Mattisson, Mariejulie C is an individual health care provider with primary practice located at 1135 116Th Ave Ne Suite 640, Bellevue WA 98004-4623. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mattisson, Mariejulie C can be contacted via phone (425) 646-4700.

Contact Information

Primary practice address
1135 116Th Ave Ne Suite 640 Bellevue WA 98004-4623
Phone: (425) 646-4700
Fax: (425) 646-1076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00148497 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP30006450 Washington

Profile Details

NPI number 1518083237
LBN Legal business name Mattisson, Mariejulie C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Oct 19th, 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 1518083237 NPPES
Washington MEDICAID 8128084

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