Individual
MRS. NICOLE LYNN MATUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4924 CAMPBELL BLVD, NOTTINGHAM, MD 21236-5908
(443) 442-2300
Mailing address
1619 BIMINI DR, BEL AIR, MD 21015-1796
(410) 459-9812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R176455
MD
363LF0000X
Family Nurse Practitioner
Primary
R176455
MD
Other
Enumeration date
06/19/2013
Last updated
10/05/2022
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