Trina R. Mattingly in Irvine - Pediatrics
Trina R. Mattingly - NPI 1316993165
Trina R. Mattingly is a Pediatrics in Irvine, Kentucky. Trina R. Mattingly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Trina R. Mattingly is 1316993165. The last update date is 2019-05-06.
Trina R. Mattingly's current location address is 417 River Dr, Irvine, Kentucky. You can contact this provider via phone number 6067230399 and fax number 6067230379. The mailing address for Trina R. Mattingly is 417 River Dr, Irvine, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trina R. Mattingly |
|---|---|
| Address | 417 River Dr, Irvine, Kentucky |
| Phone Number | 6067230399 |
| Fax Number | 6067230379 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1316993165 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2019-05-06 |
Provider Mailing Address Detail
| Address | 417 River Dr |
|---|---|
| City | Irvine |
| State | Kentucky (KY) |
| Post Code | 403361272 |
| Phone Number | 6067230399 |
| Fax Number | 6067230379 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 3003803 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6400 | KY | GROUP MEDICARE # | |
| 78901261 | KY | -- | |
| 78009297 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Trina R. Mattingly by the Centers for Medicare & Medicaid Services?
The Trina R. Mattingly has been issued the NPI (National Provider Identifier) 1316993165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Trina R. Mattingly?
The Trina R. Mattingly is physically situated at 417 River Dr, in the city of Irvine, state of KY, with the postal code 403361272.
What is Trina R. Mattingly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Trina R. Mattingly is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Trina R. Mattingly receive the assignment of its 1316993165 from the Centers for Medicare & Medicaid Services?
The Trina R. Mattingly was issued its 1316993165 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date was the information pertaining to Trina R. Mattingly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Trina R. Mattingly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-05-06.