Individual
ANGELA L. MATERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
141 FRANKLIN ST, FRANKLIN STREET COMMUNITY HEALTH CENTER, STAMFORD, CT 06901-1014
(203) 969-0802
(203) 357-0162
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003207
CT
363LP2300X
Primary Care Nurse Practitioner
438138
NY
Other
Enumeration date
01/30/2008
Last updated
11/19/2010
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