Individual
NICOLE MARIE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2300935
MA
363L00000X
Nurse Practitioner
Primary
APRN04994
RI
363L00000X
Nurse Practitioner
RN2300935
MA
Other
Enumeration date
09/14/2023
Last updated
02/03/2026
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