Individual
MRS. CHRISTINA RUTHANN MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 W EAU GALLIE BLVD STE 108, MELBOURNE, FL 32935-5390
(321) 622-8730
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 622-8730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11029414
FL
Other
Enumeration date
10/30/2023
Last updated
11/03/2023
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