Provider Demographics
NPI:1851392047
Name:MATTSON, DAVID S (MS, APRN-BC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:MATTSON
Suffix:
Gender:M
Credentials:MS, APRN-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15025 N THOMPSON PEAK PKWY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2863
Mailing Address - Country:US
Mailing Address - Phone:480-459-2893
Mailing Address - Fax:480-767-2549
Practice Address - Street 1:15025 N THOMPSON PEAK PKWY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2863
Practice Address - Country:US
Practice Address - Phone:480-459-2893
Practice Address - Fax:480-767-2549
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN047987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily