Individual
ALISHA DAWN MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1120 S 1ST ST, IMMOKALEE, FL 34142-4303
(239) 867-3400
Mailing address
1120 S 1ST ST, IMMOKALEE, FL 34142-4303
(239) 867-3400
(239) 657-2304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2022001544
MO
363LF0000X
Family Nurse Practitioner
Primary
APRN11025669
FL
Other
Enumeration date
01/15/2022
Last updated
07/17/2023
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