Individual provider · Type 1 NPI

Amanda Mata, RN

Registered Nurse · Southgate, MI

NPI number 1376008557 Active

Practice location

13305 Reeck Ct
Southgate, MI 48195-3197

Mailing address

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704319275 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1376008557

Amanda Mata, RN's National Provider Identifier is 1376008557, issued on Feb 1, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Southgate, MI. The record was last updated on Feb 1, 2019.