Individual provider · Type 1 NPI

Giselle Alicia Mata, FNP

Nurse Practitioner · Santa Ana, CA

NPI number 1255659892 Active

Practice location

1212 W 17th St
Santa Ana, CA 92706-3418

Call (714) 377-2348 Map

Fax (714) 377-2866

Mailing address

17360 Brookhurst Street, Attn: Credentialing Dept.
Fountain Valley, CA 92708-3720

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP19537 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255659892

Giselle Alicia Mata, FNP's National Provider Identifier is 1255659892, issued on May 6, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Ana, CA. The record was last updated on May 20, 2016.