Individual
TAMARA MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
141 3RD ST NW, CARMEL, IN 46032-1727
(317) 627-3901
Mailing address
141 3RD ST NW, CARMEL, IN 46032-1727
(317) 627-3901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28135943A
IN
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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