Individual
JAYMIE R MATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(267) 228-5908
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(267) 228-5908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN685976
PA
367500000X
Certified Registered Nurse Anesthetist
153674
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558336
KS
Other
Enumeration date
07/11/2023
Last updated
05/20/2026
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