Individual provider · Type 1 NPI

Maryanne Matara

Licensed Practical Nurse · Dracut, MA

NPI number 1700746294 Active

Practice location

525 Merrill Ln Apt 211
Dracut, MA 01826-6412

Call (978) 996-7784 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN100422 (MA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700746294

Maryanne Matara's National Provider Identifier is 1700746294, issued on Nov 17, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dracut, MA. The record was last updated on Nov 17, 2025.