Individual provider · Type 1 NPI

Scott Michael Mattimore, RN

Registered Nurse · Lake City, FL

NPI number 1619155496 Active

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Call (386) 755-3016 Map

Mailing address

173 SE Pine Dr
Lake City, FL 32025-6886

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN 2626232 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1619155496

Scott Michael Mattimore, RN's National Provider Identifier is 1619155496, issued on Feb 4, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lake City, FL. The record was last updated on Feb 4, 2008.