Individual provider · Type 1 NPI

Chantal Tiffany Therese Mattar, NP

Acute Care Nurse Practitioner · Detroit, MI

NPI number 1366291809 Active

Practice location

12121 Broadstreet Ave
Detroit, MI 48204-1550

Call (313) 824-1000 Map

Other practice locations

  • 10809 Mack Ave, Detroit, MI 48214-2119 · (313) 824-1000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704288255 (MI)

Acute Care Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1366291809

Chantal Tiffany Therese Mattar, NP's National Provider Identifier is 1366291809, issued on May 16, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Oct 6, 2024.