MELISSA DIANE MATTIMORE RN ACNP NPI 1710140793

NPI Information

Melissa Diane Mattimore, RN, ACNP is an acute care nurse practitioner in New York, NY. Melissa Diane Mattimore, RN, ACNP NPI is 1710140793. 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:

1190 5TH AVE
BOX 1458
NEW YORK, NY
ZIP 10029-503
Phone: (917) 538-2769

The NPI 1710140793 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 7/9/2008 and was last updated on 1/14/2011.

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:

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