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Contact Information

MARIAN A MATTERN, CNP, PMHNP, RN
550 W CHALMERS AVE
YOUNGSTOWN, OH44511-1576
 Phone: 330-797-0070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARIAN A MATTERN · (Female)

NPI # 1366799082
Status Active
Credentials CNP, PMHNP, RN
Entity Individual
Enumeration date 08/13/2012
Last updated 01/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.13427
  • OH License # COA.13427.NP
  • OH License # COA13427NP
  • OH License # RN.330047
  • PA License # RN757290
  • PA License # SP026528
  • PA License # SP026529
  • OH Medicaid 0082611
  • OH Other 12428078 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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