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Individual
TERESA MARIE MATZKE
Active
Individual
TERESA MARIE MATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14059
OH
363LF0000X
Family Nurse Practitioner
195117
MT
363LF0000X
Family Nurse Practitioner
CNP.14059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082732
—
OH
01
—
H185562
MEDICARE
OH
Enumeration date
07/28/2005
Last updated
07/30/2025
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