Organization
PLATINUM COSMETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MICHELLE MATTISON NURSE PRACTITIONER (OWNER)
(320) 431-1212
Entity
Organization
Contact information
Practice address
111 1ST ST NE STE A, LITTLE FALLS, MN 56345-2601
(320) 639-1230
Mailing address
111 1ST ST NE STE A, LITTLE FALLS, MN 56345-2601
(320) 639-1230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
07/01/2022
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