Individual provider · Type 1 NPI

Kimberly Mattina

Acute Care Nurse Practitioner · Southfield, MI

NPI number 1104231083 Active

Practice location

26206 W 12 Mile Rd Ste 105
Southfield, MI 48034-1799

Call (248) 200-3715 Map

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 53156 Cripple Creek Dr, Chesterfield, MI 48047-5960 · (248) 495-6857

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704306684 (MI)

Acute Care Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1104231083

Kimberly Mattina's National Provider Identifier is 1104231083, issued on Jun 30, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Southfield, MI. The record was last updated on Sep 7, 2023.