Individual
MS. MEAGAN AMY MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2500
Mailing address
21 CROSSROADS DR STE 200, OWINGS MILLS, MD 21117-5483
(410) 581-8140
(410) 356-0885
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R261162
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2747586
—
OH
Enumeration date
11/06/2006
Last updated
09/03/2024
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