CORA NICOLE MATTIE PA-C NPI 1043490121

NPI Information

NPI: 1043490121
Provider Name: CORA NICOLE MATTIE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
14000 E ARAPAHOE RD
SUITE 290
CENTENNIAL, CO
ZIP 80112
Phone: (303) 632-3640
Get Directions

Cora Nicole Mattie, PA-C is a medical physician assistant in Centennial, CO. Cora Nicole Mattie, PA-C NPI is 1043490121. 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:

14000 E ARAPAHOE RD
SUITE 290
CENTENNIAL, CO
ZIP 80112-043
Phone: (303) 632-3640
Fax: (303) 632-3642

The NPI 1043490121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 8/9/2011.

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		001867	IOWA	No
2	363AM0700X	Physician Assistant	Medical	3181	COLORADO	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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