Individual provider · Type 1 NPI
Ibtisam Matta, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
NPI number
1063176543
Active
Practice location
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Mailing address
2610 Riley Ave SW
Wyoming, MI 49509-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 4704359386 (MI) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
400 other providers at this address
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- Kent County CMH AuthorityCommunity/Behavioral Health Agency Grand Rapids, MI NPI 1588935068
- Aaron John Plattner, MDPsychiatry Physician Grand Rapids, MI NPI 1285891374
- Aaron Thomas Steffen, LLMSWSocial Worker Grand Rapids, MI NPI 1730935669
- Abby Desantis, QMHPCase Manager/Care Coordinator Grand Rapids, MI NPI 1528904786
- Abigail Christine Meyer, PCProfessional Counselor Grand Rapids, MI NPI 1821428368
- Adele Berg-Peterson, LLMSWSocial Worker Grand Rapids, MI NPI 1952208423
- Alaina Dessert, CTRSCase Manager/Care Coordinator Grand Rapids, MI NPI 1295309383
- Alayna T. CatheyCase Manager/Care Coordinator Grand Rapids, MI NPI 1518597152
Other child & adolescent psychiatric/mental health registered nurse providers in Grand Rapids
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- Stephanie Lynn Lecompte, RNChild & Adolescent Psychiatric/Mental Health Registered Nurse Grand Rapids, MI NPI 1184116188
- Maira Ibette Perez, BSN, RNChild & Adolescent Psychiatric/Mental Health Registered Nurse Grand Rapids, MI NPI 1407313844
- Anna DerrChild & Adolescent Psychiatric/Mental Health Registered Nurse Grand Rapids, MI NPI 1730673468
About NPI 1063176543
Ibtisam Matta, RN's National Provider Identifier is 1063176543, issued on Oct 29, 2021. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 29, 2021.