Individual provider · Type 1 NPI

Angela Marie Mattern, NP

Family Nurse Practitioner · Mishawaka, IN

NPI number 1962930180 Active

Practice location

60101 Bodnar Blvd Ste 100B
Mishawaka, IN 46544-9340

Fax (574) 335-0613

Mailing address

5215 Holy Cross Pkwy, Provider Services-Enrollment
Mishawaka, IN 46545-1469

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X71007221A (IN)
Family Nurse Practitioner Primary 363LF0000X71007221A (IN)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1962930180

Angela Marie Mattern, NP's National Provider Identifier is 1962930180, issued on Jun 1, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 16, 2025.