Individual provider · Type 1 NPI
Courtney Lynn Mattek, AGPCNP-C
Nurse Practitioner · Antigo, WI
Practice location
112 E 5th Ave
Antigo, WI 54409-2710
Mailing address
749 Deresch St
Antigo, WI 54409-1175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 8509-33 (WI) |
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 1982181913
Courtney Lynn Mattek, AGPCNP-C's National Provider Identifier is 1982181913, issued on Jul 23, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Antigo, WI. The record was last updated on Jul 23, 2018.