Individual provider · Type 1 NPI
Herbert Matanga, CNP
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Rogers, MN
NPI number
1003664525
Active
Practice location
19427 136th Ave N
Rogers, MN 55374-4834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0807X | 11557 (MN) |
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
Another provider at this address
About NPI 1003664525
Herbert Matanga, CNP's National Provider Identifier is 1003664525, issued on May 9, 2024. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (364SP0807X), and the practice location is in Rogers, MN. The record was last updated on May 9, 2024.