Individual
MS. MEAGAN AMY MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
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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