Holly Mattern, - Nurse Practitioner in Eagle Bute, SD

Holly Mattern, is a Nurse Practitioner - Family based in Eagle Bute, South Dakota. Holly Mattern is licensed to practice in South Dakota (license number 002442) and her current practice location is 24276 166th Street Airport Rd, Eagle Bute, South Dakota. She can be reached at her office (for appointments etc.) via phone at (605) 964-0666.

NPI number for Holly Mattern is 1922452531 and her current mailing address is 14744 Sd Highway 65, Isabel, South Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922452531.

Contact Information

Holly Mattern,
24276 166th Street Airport Rd,
Eagle Bute, SD 57625
(605) 964-0666
Not Available



Provider's Profile

Full NameHolly Mattern
GenderFemale
SpecialityNurse Practitioner - Family
Location24276 166th Street Airport Rd, Eagle Bute, South Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922452531
  • Provider Enumeration Date: 04/20/2016
  • Last Update Date: 08/05/2022

Medical Identifiers

Medical identifiers for Holly Mattern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922452531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R038851 (South Dakota)Secondary
363LF0000XNurse Practitioner - Family 002442 (South Dakota)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. Holly Mattern 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
Holly Mattern,
14744 Sd Highway 65,
Isabel, SD 57633-8513

Ph: (701) 351-1595
Holly Mattern,
24276 166th Street Airport Rd,
Eagle Bute, SD 57625

Ph: (605) 964-0666

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› Verified 8 days ago


Nurse Practitioner Nurses in Eagle Bute, SD


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