NPI Profile for MARY LOUISE MATTAS in LAKE WORTH, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse First Assistant |
163WR0006X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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MARY LOUISE MATTAS
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