Organization
KATHIE A, MATES, CRNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHIE ANN MATES CRNP (OWNER)
(412) 610-1711
Entity
Organization
Contact information
Practice address
810 JAMISON AVE, GREENSBURG, PA 15601-5438
(412) 610-1711
(724) 832-8344
Mailing address
810 JAMISON AVE, GREENSBURG, PA 15601-5438
(412) 610-1711
(724) 832-8344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SPOO7875
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015566820001PA
—
PA
01
—
1538231204
NPI
PA
01
—
Q59430 PA
UPIN
PA
Enumeration date
10/28/2008
Last updated
02/16/2009
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