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Trina R. Mattingly, APRN
Pediatric Nurse Practitioner in Irvine, Kentucky
NPI 1316993165

Trina R. Mattingly is a Pediatric Nurse Practitioner based in London, KY and is specialized in Pediatrics. Trina R. Mattingly practices in Irvine, KY and has the professional credentials of APRN. The NPI Number for Trina R. Mattingly is 1316993165 and holds a License No. 3003803 (Kentucky).

The current practice location address for Trina R. Mattingly is 417 River Dr, Irvine, KY and can be reached out via phone at 606-723-0399 and via fax at 606-723-0379.

Location: 417 River Dr, Irvine, KY, 40743-0936
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Provider Profile Details
NPI Number
1316993165
Provider Name
Trina R. Mattingly
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
417 River Dr, Irvine, KY, 40743-0936
Phone Number
606-723-0399
Fax Number
606-723-0379
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6400 01 KY GROUP MEDICARE #
78901261 05 KY
78009297 05 KY
institution
Provider Business Practice Location Address Details
Address
417 River Dr
City
State
Zip
40336-1272
Phone Number
606-723-0399
Fax Number
606-723-0379
person
Provider Business Mailing Address Details
Address
417 River Dr
City
State
Zip
40336-1272
Phone Number
606-723-0399
Fax Number
606-723-0379
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
3003803 (Kentucky)
Definition
Definition to come...
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