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Individual
FAITH ANN MATTINGLY
Active
Individual
FAITH ANN MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1180654
KY
363L00000X
Nurse Practitioner
Primary
1180654
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2026018987
ANCC CERTIFICATION
—
01
—
4061323
LICENSE APRN-CNP
KY
Enumeration date
07/25/2024
Last updated
09/02/2026
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