Taylor Mattice is a student in an organized health care education training program in Minneapolis, MN. 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. Taylor Mattice NPI is 1801536677. 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:
2450 RIVERSIDE AVE
M136, 1ST FLOOR, EAST BUILDING, 8950A
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 624-3113
The NPI 1801536677 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 3/30/2022 and was last updated on 3/30/2022.