Individual
MRS. DANIELLE MARIE MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC, WHNP
Contact information
Practice address
1828 W LAKE AVE, NEPTUNE CITY, NJ 07753-4663
(732) 869-5700
Mailing address
1828 W LAKE AVE, NEPTUNE CITY, NJ 07753-4663
(732) 869-5700
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ01076400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01076400
APN
NJ
Enumeration date
11/10/2020
Last updated
06/24/2022
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