Individual
KAITLYN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 DIAMOND HILL RD FL 3, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8872
(908) 464-4930
Mailing address
528 MOUNT HOPE RD, WHARTON, NJ 07885-2816
(724) 554-0020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17968900
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00839300
NJ
Other
Enumeration date
06/11/2018
Last updated
04/05/2022
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