IndividualActive
Raven Mattingly
NPI 1285097527 · Personal Care Attendant · Gans, OK
Provider details
- NPI number
- 1285097527
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
204 N Stacey Ave
Gans, OK 74936
Phone: (918) 775-2236
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 70
Gans, OK 74936-0070
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2016-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.