Individual
MS. GINA MARIE MATASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2040
(330) 480-2071
Mailing address
9803 SHARROTT RD, POLAND, OH 44514-3517
(330) 549-5860
(330) 549-5856
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.026101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416666
—
OH
Enumeration date
02/19/2020
Last updated
10/11/2024
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