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Individual
MS. KAITLIN ROSE MATTICE
Active
Individual
MS. KAITLIN ROSE MATTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113515
NE
363L00000X
Nurse Practitioner
H168963
IA
363LA2100X
Acute Care Nurse Practitioner
95004784
CA
Other
Enumeration date
08/25/2016
Last updated
10/10/2024
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