Mark R. Mattice is a Winston Salem, North Carolina based nurse practitioner. Active license number of Mark R. Mattice is 200883 in North Carolina. His current practice location is Medical Center Blvd, Winston Salem. Patients can reach him at 336-716-2255. Mark R. Mattice is NP and his NPI number (Unique professional ID assigned by NPPES) is 1700866431. Mark R. Mattice has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mark R. Mattice speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mark R. Mattice
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
NP
Practice Address:
Medical Center Blvd, Winston Salem, North Carolina, 27157-0001
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1700866431
NPI Enumeration Date:
19 Jan, 2006
NPI Last Update On:
16 Aug, 2012
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark R. Mattice are as mentioned below.
License Number
Specialization
State
Status
200883
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark R. Mattice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7004065
Medicaid
North Carolina
194975
Other
MEDCOST
7046747
Other
AETNA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark R. Mattice Po Box 344, Winston Salem, North Carolina
Zip:
27102-0344
Phone Number:
336-716-2255
Patients can reach Mark R. Mattice at Medical Center Blvd, Winston Salem, North Carolina or can call to book an appointment on 336-716-2255.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.