Individual
MEGAN MATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42ND AND EMILE, OMAHA, NE 68105
(402) 391-3800
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0434
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
36894
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
07/23/2025
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