Individual provider · Type 1 NPI

Connie Ruth Mattice, RN

Nurse Practitioner · Grand Rapids, MI

NPI number 1225269095 Active

Practice location

425 Cherry St. S.e, Planned Parenthood Centers Of West Michigan
Grand Rapids, MI 49503

Call (616) 774-7005 Map

Fax (616) 774-0516

Mailing address

7237 22nd Ave
Jenison, MI 49428-7758

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2088590 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1225269095

Connie Ruth Mattice, RN's National Provider Identifier is 1225269095, issued on Jul 28, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 28, 2009.