Individual
GABRIELLE MATYUS-FOO
Active
Individual
GABRIELLE MATYUS-FOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN691196
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15171600
NJ
363LG0600X
Gerontology Nurse Practitioner
SP024603
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP024603
STATE LICENSE
PA
Enumeration date
07/26/2021
Last updated
04/06/2026
Update your record
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