Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE ANN MATTILA, NP
ActiveKATIE ANN MATTILA, NP is a Nurse Practitioner healthcare provider located in GRAND RAPIDS, Michigan. NPI 1124891858 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1124891858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2023 (2.8024182731282 yrs)
- Last Updated
- Jun 27, 2025
- License
-
11177 (MN)
Practice Information
- Address
-
790 FULLER AVE NEGRAND RAPIDS, MI, 495031918Browse MI providers · Browse ZIP 49503
- Phone
- 6163363909
- Fax
- 6163368830
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. SARAH KOOP VANDEVEN | MSN, CRNP | 1295720092 |
| JANE BROOKE THIEL | WHNP, BC | 1629066022 |
| KATHLEEN BIERENS | NP | 1528049764 |
| EDITH E PAUL | NP | 1952382129 |
| TANIA LEANNE PRATT | NP | 1164403325 |
| ELIZABETH J SPERRY | NP | 1922089069 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.