Individual
ALAYAH THRESA MATAMOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-6261
(352) 273-5422
Mailing address
9147 SW 197TH CIR, DUNNELLON, FL 34432-2685
(405) 822-1814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11032084
FL
363LP0200X
Pediatric Nurse Practitioner
11032084
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11032084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123336800
—
FL
Enumeration date
04/03/2024
Last updated
06/15/2026
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