Individual provider · Type 1 NPI
Divya Mattathil
Primary Care Nurse Practitioner · Sacramento, CA
NPI number
1013874817
Active
Practice location
1500 21st St
Sacramento, CA 95811-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95035843 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1013874817
Divya Mattathil's National Provider Identifier is 1013874817, issued on Jan 6, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sacramento, CA. The record was last updated on Jan 6, 2026.