Nathaniel Mattison is a student in an organized health care education training program in Shreveport, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nathaniel Mattison NPI is 1073180758. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 626-1036
The enumeration date for this NPI number is 6/9/2021 and was last updated on 6/9/2021.