Individual provider · Type 1 NPI
Anastasia Nanyongo Matute
Psychiatric/Mental Health Nurse Practitioner · Grand Prairie, TX
NPI number
1669932976
Active
Practice location
2100 Virginia St
Grand Prairie, TX 75051-3796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 904608 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1156040 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1669932976
Anastasia Nanyongo Matute's National Provider Identifier is 1669932976, issued on Mar 22, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 13, 2024.