Individual
RHONDA L MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
16011
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100800A
—
OK
Enumeration date
04/03/2006
Last updated
01/30/2025
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