Individual
MRS. ALISON J MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CNR
Contact information
Practice address
1122 PROFESSIONAL DR, GOSHEN, IN 46526-3819
(574) 533-0560
(574) 533-1716
Mailing address
1122 PROFESSIONAL DR, GOSHEN, IN 46526-3819
(574) 533-0560
(574) 533-1716
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71000397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200506790
—
IN
Enumeration date
04/03/2007
Last updated
01/15/2021
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