Individual
MARIA ELIZABETH NASIS-MATUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP
Contact information
Practice address
47 PIONEER BLVD, HUNTINGTON STATION, NY 11746-4423
(516) 314-2717
Mailing address
47 PIONEER BLVD, HUNTINGTON STATION, NY 11746-4423
(516) 314-2717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
577648-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382490-1
NY
Other
Enumeration date
08/30/2010
Last updated
09/29/2021
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