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Courtney Lynn Mattek, AGPCNP-C

Nurse Practitioner in Antigo, WI. Individual provider (NPI-1).

NPI number1982181913
StatusActive
Last updated in NPPESJul 23, 2018

Details

NPI
1982181913
Entity type
Individual (NPI-1)
Name
Courtney Lynn Mattek
Credential
AGPCNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2018
Last updated
Jul 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner8509-33WIYes

Practice location

112 E 5th Ave
Antigo, WI 54409-2710

Phone 715-623-2331

Mailing address

749 Deresch St
Antigo, WI 54409-1175

Phone 651-428-6811

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