| NPI | 1851724488 |
|---|---|
| Former Name | AMBER LEE MATTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5150) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-10-29 |