Individual
MARY LOUISE MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5255 OFFICE PARK BLVD STE 110, BRADENTON, FL 34203-3443
(941) 755-7000
(941) 755-7088
Mailing address
5255 OFFICE PARK BLVD STE 110, BRADENTON, FL 34203-3443
(941) 755-7000
(941) 755-7088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11006564
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11006564
FL
Other
Enumeration date
03/19/2020
Last updated
01/24/2025
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