Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY MATTERN
Active Sole ProprietorHOLLY MATTERN is a Family Nurse Practitioner healthcare provider located in EAGLE BUTE, South Dakota. NPI 1922452531 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · EAGLE BUTE, SD
Registration Details
- NPI Number
- 1922452531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2016 (10.310815250549 yrs)
- Last Updated
- Aug 5, 2022
- Licenses
-
R038851 (SD)002442 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24276 166TH STREET AIRPORT RDEAGLE BUTE, SD, 57625Browse SD providers · Browse ZIP 57625
- Phone
- 6059640666
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.