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Contact Information

MARY LOUISE MATTAS, ARNP-C, CRNFA
1832 17TH AVE N
LAKE WORTH, FL33460-6432
 Phone: 561-727-9260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for MARY LOUISE MATTAS · (Female)

NPI Number 1346610813
Status Active
Credentials ARNP-C, CRNFA
Entity Individual
Enumeration date 09/28/2015
Last updated 08/23/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # APRN9175209
  • FL License # ARNP9175209
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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