Individual
KAYLA LEE MATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
311 COMMONS WAY, PRINCETON, NJ 08540-1510
(609) 921-7747
Mailing address
419 W MAPLE AVE, LAUREL SPRINGS, NJ 08021-3121
(609) 413-3630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14966600
NJ
Other
Enumeration date
03/06/2023
Last updated
01/23/2024
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