Search › Utah › 225100000X
Nicole Mattingly
NPI 1538571104 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1640 Redstone Ctr Dr
Park City, UT 84098 - Phone
- (435) 776-7222
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah