Individual provider · Type 1 NPI

Glenda Elizabeth Mata

Pediatric Nurse Practitioner · Edinburg, TX

NPI number 1801618996 Active

Practice location

5502 S Mccoll Rd
Edinburg, TX 78539-8747

Mailing address

3510 N 40th Ln
Mcallen, TX 78501-3307

Other practice locations

  • 922 S Closner Blvd, Edinburg, TX 78539-5609 · (956) 381-8431

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1178177 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1801618996

Glenda Elizabeth Mata's National Provider Identifier is 1801618996, issued on Oct 29, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Edinburg, TX. The record was last updated on Oct 29, 2024.