Individual
AMY LYNN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
322 DEWITT ST, PORTAGE, WI 53901-2114
(608) 280-2700
Mailing address
25 KESSEL CT, SUITE 105, MADISON, WI 53711-6227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164551-30
WI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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