Individual provider · Type 1 NPI

Krissa Matarlo-Smith, APN

Adult Health Nurse Practitioner · New York, NY

NPI number 1003528050 Active

Practice location

173 Fort Washington Ave
New York, NY 10032-3739

Mailing address

37 8th St
Ridgefield Park, NJ 07660-1005

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X311115 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1003528050

Krissa Matarlo-Smith, APN's National Provider Identifier is 1003528050, issued on Dec 21, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Aug 28, 2026.