Individual
CRISTINE MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
10512 PARK RD, SUITE # 113, CHARLOTTE, NC 28210-8475
(704) 541-8207
(704) 540-8288
Mailing address
PO BOX 36488, CHARLOTTE, NC 28236-6488
(704) 248-3400
(704) 337-8387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224739
NC
363LA2200X
Adult Health Nurse Practitioner
2831582
FL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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