Individual
MRS. PAMELA JEAN MATTISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
252 GLENMONT RD, RIVER FALLS, WI 54022-8020
(715) 425-7880
Mailing address
252 GLENMONT RD, RIVER FALLS, WI 54022-8020
(715) 425-7880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89371-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39911900
—
WI
Enumeration date
04/27/2006
Last updated
07/09/2007
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