Individual provider · Type 1 NPI

Diane Kenton Mattern, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Casper, WY

NPI number 1184601700 Active

Practice location

475 South Spruce, Casper Natrona County Health Department
Casper, WY 82601-0000

Call (307) 235-9340 Map

Fax (307) 237-2036

Mailing address

3243 S Poplar St
Casper, WY 82601-5307

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	10883.122 (WY)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1184601700

Diane Kenton Mattern, NURSE PRACTITIONER's National Provider Identifier is 1184601700, issued on Dec 23, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Casper, WY. The record was last updated on Mar 19, 2013.