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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MCKENNA ANN MATTICE, MSN, FNP

Active Sole Proprietor

MCKENNA ANN MATTICE, MSN, FNP is a Family Medicine healthcare provider located in LAKE FOREST, California. NPI 1982430393 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKE FOREST, CA

Registration Details

NPI Number
1982430393
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2024 (1.9365191970507 yrs)
Last Updated
Sep 11, 2024
License
95032116 (CA)
Sole Proprietor
Yes

Practice Information

Address
239 CARMONA
LAKE FOREST, CA, 926307633
Browse CA providers · Browse ZIP 92630
Phone
9494129274
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAKE FOREST, CA

Name Credential NPI
DR. CARRIE J. DIRAMIO MD 1790782993
DR. MARY M KOUMAS D.O. 1306838909
STEPHEN JOHN MISCH M.D 1306877584
JAMES PATRICK DECOCK M.D 1720019904
FRANCIS Y WONG M.D 1164453346
MRS. CAROL ANN BARNES-BLANKS MD 1720009152
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.