Sean R Mattingly, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Frederick, MD

NPI

1245879980

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

R215838 (MD)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-12-28

Last updated

2021-01-13