Individual
DIANE KENTON MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
475 SOUTH SPRUCE, CASPER NATRONA COUNTY HEALTH DEPARTMENT, CASPER, WY 82601-0000
(307) 235-9340
(307) 237-2036
Mailing address
3243 S POPLAR ST, CASPER, WY 82601-5307
(307) 259-1388
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10883.122
WY
Other
Enumeration date
12/23/2005
Last updated
03/19/2013
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