Individual
MS. SHEILA WATSON MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4384 CLEARWATER WAY STE 190, LEXINGTON, KY 40515-6493
(859) 403-3385
Mailing address
4384 CLEARWATER WAY STE 190, LEXINGTON, KY 40515-6493
(859) 403-3385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1120760
KY
163WG0000X
General Practice Registered Nurse
1120760
KY
163WI0500X
Infusion Therapy Registered Nurse
1120760
KY
163WS0121X
Plastic Surgery Registered Nurse
1120760
KY
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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