Individual provider · Type 1 NPI
Diane Fodor Mattes, CNP
Nurse Practitioner · Hines, IL
Practice location
5000 S 5th Ave Bldg 1, Room E236
Hines, IL 60141-3030
Fax (708) 202-7402
Mailing address
5000 S. Fifth Ave Building 1, Room E236
Hines, IL 60141-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209006217 (IL) |
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 1942425673
Diane Fodor Mattes, CNP's National Provider Identifier is 1942425673, issued on Apr 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hines, IL. The record was last updated on Nov 29, 2021.