CANDACE JEAN MATTSON FNP NPI 1649528241

NPI Information

  • NPI: 1649528241
  • Provider Name: CANDACE JEAN MATTSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12201 RENFERT WAY STE 320
    AUSTIN, TX
    ZIP 78758
  • Phone: (512) 323-5465

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NPI Details

Candace Jean Mattson, FNP is a family nurse practitioner in Austin, TX. Candace Jean Mattson, FNP NPI is 1649528241. 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:

12201 RENFERT WAY STE 320
AUSTIN, TX
ZIP 78758-372
Phone: (512) 323-5465
Fax: (512) 476-9892

The NPI 1649528241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.

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
1363LF0000XNurse PractitionerFamily695466TEXASYes

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: 3/30/2025

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