Individual provider · Type 1 NPI
Alice Matukaitis, CRNP
Ambulatory Women's Health Care Registered Nurse · Shamokin, PA
NPI number
1700957214
Active
Practice location
10 E Independence St
Shamokin, PA 17872-6804
Mailing address
4612 Westbranch Hwy
Lewisburg, PA 17837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Women's Health Care Registered Nurse Primary | 163WW0101X | RN507564L (PA) |
Ambulatory Women's Health Care Registered Nurse: Definition to come...
About NPI 1700957214
Alice Matukaitis, CRNP's National Provider Identifier is 1700957214, issued on Nov 13, 2006. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in Shamokin, PA. The record was last updated on Mar 6, 2012.