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Individual

FAITH ANN MATTINGLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3818 GLENSIDE PL, LOUISVILLE, KY 40213-1534
(502) 714-0403
Mailing address
3818 GLENSIDE PL, LOUISVILLE, KY 40213-1534
(502) 714-0403

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1180654
KY

Other

Enumeration date
07/25/2024
Last updated
07/25/2024
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