Individual
KATHRYN J MATULAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-5108
(724) 430-3382
Mailing address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-5108
(724) 430-3382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN211110L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN211110L
LICENSE NUMBER
PA
Enumeration date
03/08/2006
Last updated
07/08/2007
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