Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE KENTON MATTERN, NURSE PRACTITIONER
ActiveAdult Health Nurse Practitioner · CASPER, WY
Registration Details
- NPI Number
- 1184601700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2005 (20.336426100911 yrs)
- Last Updated
- Mar 19, 2013
- License
-
10883.122 (WY)
Practice Information
- Address
-
475 SOUTH SPRUCECASPER NATRONA COUNTY HEALTH DEPARTMENTCASPER, WY, 826010000Browse WY providers · Browse ZIP 82601
- Phone
- 3072359340
- Fax
- 3072372036
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
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.