| Alisha Dawn Mattern, FNP-C | |
|
1120 S 1st St, Immokalee, FL 34142-4303 | |
| (239) 867-3400 | |
| Not Available |
| Full Name | Alisha Dawn Mattern |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1120 S 1st St, Immokalee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528719085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022001544 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11025669 (Florida) | Primary |
| Entity Name | Mercy East Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisha Dawn Mattern, FNP-C 1120 S 1st St, Immokalee, FL 34142-4303 Ph: (239) 867-3400 | Alisha Dawn Mattern, FNP-C 1120 S 1st St, Immokalee, FL 34142-4303 Ph: (239) 867-3400 |
Prof. Amelia Francine Bell-hawkins, APRN-BC, CRNP-F Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3011 | |
Katiuska Moreno, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 | |
Emily Ann Brosseit, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3199 | |
Ms. Odalys Pena, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 508 N 9th St Unit 142, Immokalee, FL 34142 Phone: 239-658-3000 | |
Gyla Ann Wise, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 W Main St, Immokalee, FL 34142 Phone: 239-658-3560 Fax: 239-658-3571 | |
Dao-tien Duong, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 419 N 1st St, Immokalee, FL 34142 Phone: 239-252-2697 Fax: 239-774-5653 |