Individual
KRISTIN ANNE MATT
Active
Individual
KRISTIN ANNE MATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-169517
AL
363L00000X
Nurse Practitioner
Primary
1-169517
AL
363LA2100X
Acute Care Nurse Practitioner
1-169517
AL
363LF0000X
Family Nurse Practitioner
Primary
APRN-RN244244
GA
Other
Enumeration date
04/05/2020
Last updated
03/17/2026
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