KATIE ANN MATTILA

GRAND RAPIDS, MI
NPI1124891858
Former NameKATIE ANN LONGENECKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  11177)
Enumeration Date2023-11-03
Last Update Date2025-06-27
Business Address
KATIE ANN MATTILA NP
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
Mailing Address
KATIE ANN MATTILA NP
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
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