Individual
ELLEN L MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-1889
Mailing address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-1889
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0158
AZ
Other
Enumeration date
07/17/2006
Last updated
04/05/2017
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