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Individual
VICKI TESSITORE MATHERNE
Active
Individual
VICKI TESSITORE MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP03301
LA
367A00000X
Advanced Practice Midwife
RN064193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543314
—
LA
01
—
AP03301
MW LICENSE
LA
Enumeration date
01/26/2007
Last updated
09/09/2025
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