Individual
NICOLA M MATOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
331 SHAW AVE, MCKEESPORT, PA 15132-2918
(412) 675-8855
(412) 672-3343
Mailing address
PO BOX 36, CLARKSVILLE, PA 15322-0036
(724) 377-0092
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN182713-L
PA
Other
Enumeration date
10/06/2006
Last updated
09/12/2007
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