Individual provider · Type 1 NPI

Bonnie Matossian, NP

Nurse Practitioner · Ridgewood, NJ

NPI number 1548212467 Active

Practice location

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957

Fax (201) 670-6693

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00056000 (NJ)

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 1548212467

Bonnie Matossian, NP's National Provider Identifier is 1548212467, issued on May 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ridgewood, NJ. The record was last updated on Jul 28, 2011.