Individual provider · Type 1 NPI

Angela L. Matera, MSN

Pediatric Nurse Practitioner · Stamford, CT

NPI number 1609053800 Active

Practice location

141 Franklin St, Franklin Street Community Health Center
Stamford, CT 06901-1014

Fax (203) 357-0162

Mailing address

635 Main St, Attn: Credentialing Dpt
Middletown, CT 06457-2718

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X003207 (CT)
Primary Care Nurse Practitioner 363LP2300X438138 (NY)

Pediatric Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1609053800

Angela L. Matera, MSN's National Provider Identifier is 1609053800, issued on Jan 30, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stamford, CT. The record was last updated on Nov 19, 2010.