DIANE KENTON MATTERN


Address: 475 South Spruce, Casper Natrona County Health Department, Casper, WY 82601-0000
Phone: 3072359340

DIANE KENTON MATTERN (NPI# 1184601700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184601700
Entity Type Individual
Full Name DIANE KENTON MATTERN
Other Name DIANE SENTINELLA MATTERN
Credential NURSE PRACTITIONER
Practice Address 475 South Spruce
Casper Natrona County Health Department
Casper
WY 82601-0000
Mailing Address 3243 S Poplar St
Casper
WY 82601-5307
Practice Telephone 3072359340
Practice Fax Number 3072372036
Mailing Telephone 3072591388
Enumeration Date 2005-12-23
Last Update Date 2013-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
10883.122 WY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 475 SOUTH SPRUCE
CASPER NATRONA COUNTY HEALTH DEPARTMENT
City CASPER
State WY
Zip Code 82601-0000

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NPI Name Taxonomy Address Enumeration
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1386111300 Kyle David Gordon Pharmacist 2625 E. 2nd St., Pharmacy, Casper, WY 82601 2018-10-29
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1366998692 Trenton Vonburg Occupational Therapy Assistant 2744 Fairdale Ave, Casper, WY 82601 2016-08-28
1619326618 Traci L Aguilar Massage Therapist 221 S. Walcott, Casper, WY 82601 2016-06-09
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1528444304 Jack Miller Pharmacist 1262 S. Conwell Stc, Casper, WY 82601 2015-08-04
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114149655 Deborah Ann Miller Nurse Practitioner 111 W 2nd St, Suite 305, Casper, WY 82601-2464 2007-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487931416 Stephanie Lee Dupree Nurse Practitioner 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 2011-11-04
1558373340 J'laine Proctor Nurse Practitioner 1465 N 4th St, Suite #119, Laramie, WY 82072-2066 2006-08-12
1801855606 Deborah Elizabeth Mcalpine Nurse Practitioner 1898 Fort Road, Sheridan, WY 82801-2718 2006-03-21
1043683691 Patricia Mcjilton Nurse Practitioner 501 S Burma Ave, Gillette, WY 82716-3426 2015-11-04
1790182368 Kelly Spychalski Nurse Practitioner 1025 9th St, Cody, WY 82414 2014-11-26
1215370754 Celia Elizabeth Rife Nurse Practitioner 214 E 23rd St, Cheyenne, WY 82001-3748 2013-04-15
1538310925 Ann Marie Hart, Fnp, PC Nurse Practitioner 255 N 30th St, Ivinson Memorial Hospital, Suite 5b Specialty Clinic, Laramie, WY 82072-5140 2008-10-04
1235282120 Wyoming Neurology P.C. Nurse Practitioner 2301 House Ave, Ste 203, Cheyenne, WY 82001-3176 2007-01-22
1306880158 Susan Colette Beckwith Nurse Practitioner 1898 Fort Rd, Sheridan, WY 82801-8320 2006-06-15
1730145400 Leslie Joan Nutting Nurse Practitioner 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 2006-04-21
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Competitor

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City CASPER
Zip Code 82601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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