Individual provider · Type 1 NPI
Amy Kaitlyn Matta
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1104290386
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP015648 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1104290386
Amy Kaitlyn Matta's National Provider Identifier is 1104290386, issued on Nov 25, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 25, 2015.