Individual
DENA LEE MATTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26 NEVIN WAY, YERINGTON, NV 89447-2327
(775) 463-6539
(775) 463-6534
Mailing address
26 NEVIN WAY, YERINGTON, NV 89447-2327
(775) 463-6539
(775) 463-6534
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN76054
NV
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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