Individual
LINDA C MATTLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
248 PLEASANT ST, SUITE 1700, CONCORD, NH 03301-2588
(603) 224-1929
(603) 228-7114
Mailing address
248 PLEASANT ST, SUITE 1700, CONCORD, NH 03301-2588
(603) 224-1929
(603) 228-7114
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
021052-23-02
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22258Y
UPIN
—
05
—
30008658
—
NH
Enumeration date
01/31/2006
Last updated
07/23/2007
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