person
Era Louise Mattingly, APN
Family Nurse Practitioner in Marion, Illinois
NPI 1033670062

Era Louise Mattingly is a Family Nurse Practitioner based in Marion, IL and is specialized in Family. Era Louise Mattingly practices in Marion, IL and has the professional credentials of APN. The NPI Number for Era Louise Mattingly is 1033670062 and holds a License No. 209019019 (Illinois).

The current practice location address for Era Louise Mattingly is 11522 White Pine Ave, Marion, IL and can be reached out via phone at 618-889-4834.

Location: 11522 White Pine Ave, Marion, IL, 62959-8379
person
Provider Profile Details
NPI Number
1033670062
Provider Name
Era Louise Mattingly
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
11522 White Pine Ave, Marion, IL, 62959-8379
Phone Number
618-889-4834
Fax Number
Provider Enumeration Date
03/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11522 White Pine Ave
City
State
Zip
62959-8379
Phone Number
618-889-4834
Fax Number
person
Provider Business Mailing Address Details
Address
11522 White Pine Ave
City
State
Zip
62959-8379
Phone Number
618-889-4834
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209019019 (Illinois)
Definition
Definition to come...
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