Individual
TAWNY AMBER MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN664157
PA
367500000X
Certified Registered Nurse Anesthetist
140865
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN664157
PA
Other
Enumeration date
01/24/2022
Last updated
08/28/2024
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