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Individual

VICTORIA MATTESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
100 E SANBORN ST, PARKER, SD 57053-2238
(605) 297-3888
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
115028
NE
363L00000X
Nurse Practitioner
A176037
IA
363LF0000X
Family Nurse Practitioner
Primary
CP003003
SD

Other

Enumeration date
09/01/2023
Last updated
11/14/2025
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