Individual
KATY MABUNAY MATILLA
Active
Individual
KATY MABUNAY MATILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ14944800
NJ
367500000X
Certified Registered Nurse Anesthetist
881444
NY
367500000X
Certified Registered Nurse Anesthetist
95001614
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11045940
FL
Other
Enumeration date
12/02/2021
Last updated
06/11/2026
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