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DEBRA LYNN MATTOON LPN
NPI 1083919112
Licensed Practical Nurse in Medina, NY

Active since January 20, 2011
207 SOUTH AVE, MEDINA, NY 14103(585) 590-6859 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Debra Lynn Mattoon Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA LYNN MATTOON LPN (NPI 1083919112) is an individual licensed practical nurse in Medina, New York, licensed in New York (300437) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1083919112
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEBRA LYNN MATTOONCredential: LPN
Location Address207 SOUTH AVEMedina, NY 14103-1541
Mailing Address207 South AveMedina, NY 14103-1541 · (585) 590-6859
Phone(585) 590-6859
Sole ProprietorYes
Enumeration DateJanuary 20, 2011
✔ NPI 1083919112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 300437
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
207 SOUTH AVE, Medina, NY 14103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Mattoon's NPI number?

The NPI number for Debra Mattoon is 1083919112. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Where is Debra Mattoon located?

Debra Mattoon practices at 207 South Ave, Medina, NY 14103. The listed phone number is (585) 590-6859.

What is Debra Mattoon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Debra Mattoon was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.