Individual
MARIA MATAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3140 N 35TH AVE STE 7, PHOENIX, AZ 85017-5270
(602) 353-6656
Mailing address
3140 N 35TH AVE STE 7, PHOENIX, AZ 85017-5270
(602) 353-6656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
262111
AZ
363LF0000X
Family Nurse Practitioner
262111
AZ
Other
Enumeration date
11/01/2021
Last updated
11/12/2021
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