Individual provider · Type 1 NPI
Michelle Renea Mata, FNP-BC
Family Nurse Practitioner · Santee, CA
NPI number
1932807112
Active
Practice location
10109 Ashdale Ln
Santee, CA 92071-1635
Other practice locations
- 225 East Second Avenue, Escondido, CA 92025 · (760) 291-6700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95024337 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1932807112
Michelle Renea Mata, FNP-BC's National Provider Identifier is 1932807112, issued on Feb 17, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santee, CA. The record was last updated on Mar 18, 2025.