KRISTIE MICHELLE MATTERN PAC NPI 1023392529

NPI Information

NPI: 1023392529
Provider Name: KRISTIE MICHELLE MATTERN, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
5427 S BIRMINGHAM ST
TACOMA, WA
ZIP 98409
Phone: (425) 821-6000
Get Directions

Kristie Michelle Mattern, PAC is a surgical physician assistant in Tacoma, WA. Kristie Michelle Mattern, PAC NPI is 1023392529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5427 S BIRMINGHAM ST
TACOMA, WA
ZIP 98409-417
Phone: (425) 821-6000

The enumeration date for this NPI number is 10/3/2011 and was last updated on 9/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA10003450	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA10003450	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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