JOAN MATTINGLY
NPI 1871077123
Registered Nurse - School in Omaha, NE
Active since September 22, 2018
About Joan Mattingly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOAN MATTINGLY (NPI 1871077123) is an individual school provider in Omaha, Nebraska, licensed in Nebraska (56542) and active in the NPI registry since September 2018.
NPPES Registry Identity
NPI1871077123
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameJOAN MATTINGLY
Location Address3905 N 52ND STOmaha, NE 68104-2909
Mailing Address3905 N 52nd StOmaha, NE 68104-2909
Phone(402) 457-5905
Sole ProprietorNo
Enumeration DateSeptember 22, 2018
✔ NPI 1871077123 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in NE · 56542
3905 N 52ND ST, Omaha, NE 68104
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871077123, enumerated as an "individual" on September 22, 2018.
The provider is located at 3905 N 52ND ST OMAHA, NE 68104 and the phone number is (402) 457-5905.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
