- Practice location
- 242 Brunswick St, Old Town, ME 04468-1613
- Phone
- 207-827-6128
- Fax
- —
- Last updated
- January 11, 2024
Gwyneth N Mattingly is a Nurse Practitioner, Family based in Old Town, ME. Gwyneth N Mattingly practices in Old Town, ME and has the professional credentials of FNPC. The NPI Number for Gwyneth N Mattingly is 1982054672 and holds a License No. CNP161067 (ME). The current practice location address for Gwyneth N Mattingly is 242 Brunswick St, Old Town, ME 04468-1613 and can be reached out via phone at 207-827-6128.
Provider Profile Details
- NPI Number
- 1982054672
- Provider Name
- Gwyneth N Mattingly
- Credential
- FNPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 242 Brunswick St, Old Town, ME 04468-1613
- Phone Number
- 207-827-6128
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 14, 2016
- Last Update Date
- January 11, 2024
- Certification Date
- January 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 242 Brunswick St
Old Town, ME 04468-1613 - City
- Old Town
- State
- Maine
- Zip
- 04468-1613
- Phone Number
- 207-827-6128
Provider Business Mailing Address Details
- Address
- Po Box 1599
Bangor, ME 04402-1599 - City
- Bangor
- State
- ME
- Zip
- 04402-1599
License Information
- License Number
- CNP161067
- License State
- ME
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Old Town, ME
View all Nurse Practitioner, Family providers in Old Town →- Alexa M Taylor, NPNurse Practitioner, Family · NPI 1033937362
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- Magalloway Hughes, NP-CNurse Practitioner, Family · NPI 1609421239
- Zachary GrantPhysical Therapist · NPI 1093614125
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Frequently Asked Questions
What is the NPI number of Gwyneth N Mattingly, FNPC?
The NPI number of Gwyneth N Mattingly, FNPC is 1982054672. It was assigned on June 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Gwyneth N Mattingly, FNPC?
Gwyneth N Mattingly, FNPC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP161067.
Where does Gwyneth N Mattingly, FNPC practice?
The practice location is 242 Brunswick St, Old Town, ME 04468-1613. The office can be reached at 207-827-6128 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982054672 directly on the NPPES registry website.