Mattea Rose Span
Mattea Rose Span is a Gerontology Registered Nurse in Kingsford, Michigan. Practices as a sole proprietor. Licensed in Michigan and Wisconsin.
- Licensed in
- MI, WI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
715 Pyle DrKingsford, MI 49802-4456
Phone: (906) 774-0522
Fax: (906) 774-1570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 4704340419 (MI) |
|---|---|
| Gerontology Registered Nurse | Taxonomy 163WG0600X · Licence 243214 (WI) |
Record details
| NPI number | 1891434882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2022 |
| Last updated in NPPES | September 26, 2022 |
| Certification date | September 26, 2022 |
| Mailing address | 125 Balsam St, Kingsford, MI 49802-5203 |