Individual
ELIZABETH MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 440, MILWAUKEE, WI 53215-3669
(414) 649-3537
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 325-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2757-033
WI
363LF0000X
Family Nurse Practitioner
2757-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0346332
CRNA CERT
WI
05
—
100014710
—
WI
01
—
NPI: 1205886173
NPI: 1205886173
WI
Enumeration date
05/11/2006
Last updated
04/15/2025
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