Individual
MATTHEW NISTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HACC DR, HARRISBURG, PA 17110-2903
(347) 352-1766
Mailing address
PO BOX 205, LEOLA, PA 17540-0205
(347) 352-1766
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
204689
PA
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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