Individual
MARY LUCY MATTEI
Active
Individual
MARY LUCY MATTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-110564
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932219847
GROUP NPI NUMBER
—
01
—
529602720
GROUP MEDICAID NUMBER
—
01
—
E732
GROUP MEDICARE NUMBER
—
Enumeration date
10/10/2011
Last updated
07/06/2015
Update your record
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