Individual
MR. SEAN R MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(301) 698-8375
Mailing address
501 W 7TH ST, FREDERICK, MD 21701-4586
(301) 698-8375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R215838
MD
Other
Enumeration date
12/28/2019
Last updated
01/13/2021
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