person
Diane Kenton Mattern, NURSEPRACTITIONER
Adult Health Nurse Practitioner in Casper, Wyoming
NPI 1184601700

Diane Kenton Mattern is an Adult Health Nurse Practitioner based in Casper, WY and is specialized in Adult Health. Diane Kenton Mattern practices in Casper, WY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Diane Kenton Mattern is 1184601700 and holds a License No. 10883.122 (Wyoming).

The current practice location address for Diane Kenton Mattern is 475 South Spruce, Casper, WY and can be reached out via phone at 307-235-9340 and via fax at 307-237-2036. You can also correspond with Diane Kenton Mattern through the mailing address at 3243 S POPLAR ST, CASPER, WY - 82601-5307 (mailing address contact number: 307-259-1388).

Location: 475 South Spruce, Casper, WY, 82601-5307
person
Provider Profile Details
NPI Number
1184601700
Provider Name
Diane Kenton Mattern
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
475 South Spruce, Casper, WY, 82601-5307
Phone Number
307-235-9340
Fax Number
307-237-2036
Provider Enumeration Date
12/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
475 South Spruce
City
State
Zip
82601-0000
Phone Number
307-235-9340
Fax Number
307-237-2036
person
Provider Business Mailing Address Details
Address
475 South Spruce
City
State
Zip
82601-0000
Phone Number
307-235-9340
Fax Number
307-237-2036
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
10883.122 (Wyoming)
Definition
Definition to come...
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