CILISHA E MATTISON - NPI 1194163535 - Licensed Practical Nurse in Brooklyn, NY

Q: What is Cilisha Mattison's NPI number?

The NPI number for Cilisha Mattison is 1194163535. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Q: What is Cilisha Mattison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cilisha Mattison was last updated on June 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Cilisha E Mattison NPPES

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

CILISHA E MATTISON (NPI 1194163535) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (313968) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1194163535

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCILISHA E MATTISON

Location Address2920 CORTELYOU RD # ABrooklyn, NY 11226-6313

Mailing Address2920 Cortelyou Rd # ABrooklyn, NY 11226-6313 · (917) 239-3094 · Fax (718) 287-4600

Phone(917) 239-3094

Fax(718) 287-4600

Sole ProprietorYes

Enumeration DateJune 7, 2013

✔ NPI 1194163535 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 · 313968

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.

2920 CORTELYOU RD # A, Brooklyn, NY 11226

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