Individual
DR. KATHERINE EMILY MATAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, BC
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4099
(315) 785-4615
(315) 785-4542
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4615
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
440054
NY
363LA2200X
Adult Health Nurse Practitioner
AP2527
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07162105
—
NY
Enumeration date
12/09/2006
Last updated
04/12/2024
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