Individual provider · Type 1 NPI
Johanna Matos, PNP
Pediatric Nurse Practitioner · San Antonio, TX
NPI number
1033445416
Active
Practice location
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Fax (210) 567-5903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 28160775 (IN) |
| Pediatric Nurse Practitioner | 363LP0200X | 71003123 (IN) |
| Pediatric Nurse Practitioner | 363LP0200X | 6873536 (TX) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP121172 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1033445416
Johanna Matos, PNP's National Provider Identifier is 1033445416, issued on Oct 20, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on May 18, 2017.