Individual
MRS. SARAH JO MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
(913) 360-0240
Mailing address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
(913) 367-0240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76975
KS
Other
Enumeration date
10/21/2015
Last updated
04/03/2023
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