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Individual
KASEY LEE MATURA
Active
Individual
KASEY LEE MATURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720019
TX
363LF0000X
Family Nurse Practitioner
Primary
AP138899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397121002
—
TX
Enumeration date
02/26/2019
Last updated
12/19/2023
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