Individual provider · Type 1 NPI

Gwyneth N. Mattingly, FNPC

Family Nurse Practitioner · Old Town, ME

NPI number 1982054672 Active

Practice location

242 Brunswick St
Old Town, ME 04468-1613

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP161067 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1982054672

Gwyneth N. Mattingly, FNPC's National Provider Identifier is 1982054672, issued on Jun 14, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Old Town, ME. The record was last updated on Jan 11, 2024.