Dorothy L Mattise, CRNA - Nurse Anesthetist, Certified Registered in Boise, ID

Dorothy L Mattise, CRNA is a Nurse Anesthetist, Certified Registered based in Boise, Idaho. Dorothy L Mattise is licensed to practice in Idaho (license number RNA120) and her current practice location is 1055 N Curtis Rd, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 367-6416.

NPI number for Dorothy L Mattise is 1457306870 and her current mailing address is Po Box 4268, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457306870.

Contact Information

Dorothy L Mattise, CRNA
1055 N Curtis Rd,
Boise, ID 83706-1352
(208) 367-6416
Not Available



Provider's Profile

Full NameDorothy L Mattise
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1055 N Curtis Rd, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457306870
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 04/07/2011

Medical Identifiers

Medical identifiers for Dorothy L Mattise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457306870NPI-NPPES
004378300MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse N7765 (Idaho)Secondary
367500000XNurse Anesthetist, Certified Registered RNA120 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dorothy L Mattise is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dorothy L Mattise, CRNA
Po Box 4268,
Portland, OR 97208-4268

Ph: (503) 372-2740
Dorothy L Mattise, CRNA
1055 N Curtis Rd,
Boise, ID 83706-1352

Ph: (208) 367-6416

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› Verified 4 days ago


Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Mr. Douglas Neurath,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    
Jordan B Wolff, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    Fax: 208-338-1796
Nathan S Call, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Ashton Mieritz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2121    
Kenneth Clark Stratton Jr., CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2559    
Diana San Juan Shimko, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-6416    
David Hansen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 338 E Bannock St, Boise, ID 83712
Phone: 208-336-0895    

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