Individual
NICOLE MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4000 CAMBRIDGE ST STE 600, KANSAS CITY, KS 66160-8262
(913) 588-9600
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019038975
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79004
KS
364S00000X
Clinical Nurse Specialist
53-74753-052
KS
Other
Enumeration date
07/22/2014
Last updated
02/19/2020
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