MATTIE M VANGLYNN RNNP
NPI 1962407841
Nurse Practitioner - Adult Health in Syracuse, NY

Active since June 16, 2005
550 HARRISON ST, STE 130, SYRACUSE, NY 13202(315) 464-4472 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattie M Vanglynn Rnnp NPPES

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

MATTIE M VANGLYNN RNNP (NPI 1962407841) is an individual adult health provider in Syracuse, New York, licensed in New York (203991) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1962407841
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMATTIE M VANGLYNNCredential: RNNP
Location Address550 HARRISON ST, STE 130Syracuse, NY 13202-3064
Mailing Address550 Harrison St, Ste 130Syracuse, NY 13202-3064 · (315) 464-4472
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 13, 2009
NPI 1962407841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 203991
550 HARRISON ST, Syracuse, NY 13202

Other Identifiers 3

Medicare PINDD3909NY
Medicaid02058735NY
Medicare UPINS45851NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
550 HARRISON ST, STE M
SYRACUSE, NY 13202
Nurse Practitioner
550 HARRISON ST, STE 117
SYRACUSE, NY 13202
Specialist
550 HARRISON ST, STE 128
SYRACUSE, NY 13202
Internal Medicine
550 HARRISON ST, SUITE 200
SYRACUSE, NY 13202
Clinical Medical Laboratory
550 HARRISON ST, SUITE 220
SYRACUSE, NY 13202
Urology
550 HARRISON ST, SUITE M
SYRACUSE, NY 13202
Physical Therapist
550 HARRISON ST, STE. 100
SYRACUSE, NY 13202
Nurse Practitioner (Family)
550 HARRISON ST, SUITE 117
SYRACUSE, NY 13202

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 Mattie Vanglynn's NPI number?

The NPI number for Mattie Vanglynn is 1962407841. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Mattie Vanglynn located?

Mattie Vanglynn practices at 550 Harrison St Ste 130, Syracuse, NY 13202. The listed phone number is (315) 464-4472.

What is Mattie Vanglynn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mattie Vanglynn was last updated on July 13, 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.