Individual
JOSEPH GERARD MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3600 FORBES AT MEYRAN AVENUE, FORBES TOWER, SUITE 10028, PITTSBURGH, PA 15213
(412) 647-5954
(412) 864-3400
Mailing address
600 FORBES AT MEYRAN AVENUE, FORBES TOWER, SUITE 10028, PITTSBURGH, PA 15213
(412) 647-5954
(412) 864-3400
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN310230L
PA
163WE0003X
Emergency Registered Nurse
Primary
VP003361B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500011956
RR MEDICARE
PA
Enumeration date
07/03/2006
Last updated
08/21/2014
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