Individual
COURTNEY LYNN MATTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2331
Mailing address
749 DERESCH ST, ANTIGO, WI 54409-1175
(651) 428-6811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8509-33
WI
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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