Individual
ANGELA R MATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TWP, MI 48382-2201
(248) 937-3390
(952) 442-3620
Mailing address
6225 N STATE HIGHWAY 161, SUITE 200, IRVING, TX 75038
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704279457
MI
Other
Enumeration date
12/22/2014
Last updated
09/13/2017
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