Individual provider · Type 1 NPI
Christina Petra Matias, APRN, FNP-C
Primary Care Nurse Practitioner · Racine, WI
NPI number
1720559073
Active
Practice location
413 West Blvd
Racine, WI 53405-2146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 222847 (WI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 19079-33 (WI) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1720559073
Christina Petra Matias, APRN, FNP-C's National Provider Identifier is 1720559073, issued on Dec 16, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Racine, WI. The record was last updated on Sep 17, 2026.