Provider Demographics
NPI:1346032182
Name:MATTINSON, MEGAN MARIE (FPSS, MHFA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:MATTINSON
Suffix:
Gender:X
Credentials:FPSS, MHFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-0121
Mailing Address - Country:US
Mailing Address - Phone:801-259-3312
Mailing Address - Fax:
Practice Address - Street 1:155 W 1500 S UNIT B201
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-7013
Practice Address - Country:US
Practice Address - Phone:801-259-3312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care