Individual provider · Type 1 NPI

Trina R. Mattingly, APRN

Pediatric Nurse Practitioner · Berea, KY

NPI number 1316993165 Active

Practice location

305 Estill St Fl 4
Berea, KY 40403-1742

Fax (859) 986-2344

Mailing address

PO Box 936
London, KY 40743-0936

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X3003803 (KY)

Pediatric Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1316993165

Trina R. Mattingly, APRN's National Provider Identifier is 1316993165, issued on May 25, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Berea, KY. The record was last updated on Jun 24, 2026.