MRS. CONNIE RUTH MATTICE RN
NPI 1225269095
Nurse Practitioner in Grand Rapids, MI

Q: What is Connie Mattice's NPI number?

The NPI number for Connie Mattice is 1225269095. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Q: What is Connie Mattice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Connie Mattice was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 28, 2009

425 CHERRY ST. S.E, PLANNED PARENTHOOD CENTERS OF WEST MICHIGAN, GRAND RAPIDS, MI 49503(616) 774-7005(616) 774-0516 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Connie Ruth Mattice Rn NPPES

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

MRS. CONNIE RUTH MATTICE RN (NPI 1225269095) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (2088590) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1225269095

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. CONNIE RUTH MATTICECredential: RN

Location Address425 CHERRY ST. S.E, PLANNED PARENTHOOD CENTERS OF WEST MICHIGANGrand Rapids, MI 49503

Mailing Address7237 22nd AveJenison, MI 49428-7758 · (616) 457-3143 · Fax (616) 391-2927

Phone(616) 774-7005

Fax(616) 774-0516

Sole ProprietorNo

Enumeration DateJuly 28, 2009

✔ NPI 1225269095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 2088590

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

425 CHERRY ST. S.E, Grand Rapids, MI 49503

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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 Connie Mattice's NPI number?

The NPI number for Connie Mattice is 1225269095. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Where is Connie Mattice located?

Connie Mattice practices at 425 Cherry St. S.E Planned Parenthood Centers Of West Michigan, Grand Rapids, MI 49503. The listed phone number is (616) 774-7005.

What is Connie Mattice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Connie Mattice was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.