Dina Lin Mattingly
Dina Lin Mattingly is a Nurse Practitioner in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Addi, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 6
- Licensed in
- ID
- In the registry since
- 2021
Practice location Address checks out
6933 W Emerald StBoise, ID 83704-8616
Phone: (858) 207-8790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 63001 (ID) |
|---|
Record details
| NPI number | 1023600871 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 3, 2021 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Addi — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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