Individual
MRS. REGINA MATTIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC NP
Contact information
Practice address
24 COMPUTER DR W, ALBANY, NY 12205-1612
(518) 689-7548
(518) 489-9431
Mailing address
24 COMPUTER DR W, ALBANY, NY 12205-1612
(518) 689-7548
(518) 489-9431
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F000021
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360021
NY
Other
Enumeration date
02/18/2007
Last updated
06/28/2012
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