Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE MATTILA, PHARMD
Active Sole ProprietorALICE MATTILA, PHARMD is a Pharmacotherapy Specialist healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1902489651 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1902489651
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2021 (5.3264760383618 yrs)
- Last Updated
- Apr 30, 2021
- License
-
121182 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10132 W 76TH STEDEN PRAIRIE, MN, 553443728Browse MN providers · Browse ZIP 55344
- Phone
- 8773234292
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
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.