Individual provider · Type 1 NPI
Melissa Diane Mattimore I, RN, ACNP
Acute Care Nurse Practitioner · New York, NY
NPI number
1710140793
Active
Practice location
1190 5th Ave, Box 1458
New York, NY 10029-6503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F430405-1 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1710140793
Melissa Diane Mattimore I, RN, ACNP's National Provider Identifier is 1710140793, issued on Jul 9, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Jan 14, 2011.