JOHN MICHAEL MATA, NP
Nurse Practitioner
Active
Individual
NPI: 1639871247
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Acute Care | 363LA2100X | No | 267971 (AZ) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | 267971 (AZ) |
| Nurse Practitioner - Critical Care Medicine | 363LC0200X | No | 267971 (AZ) |
| Nurse Practitioner | 363L00000X | Yes | 267971 (AZ) |
| Nurse Practitioner - Gerontology | 363LG0600X | No | 267971 (AZ) |
Frequently Asked Questions
NPI 1639871247 is the National Provider Identifier for JOHN MICHAEL MATA, NP, a Nurse Practitioner provider located in Prescott, AZ. This NPI was enumerated on March 20, 2023.
JOHN MICHAEL MATA, NP practices at 3250 GATEWAY BLVD STE 112, Prescott, AZ 86303.
Quick Facts
- NPI
- 1639871247
- Type
- Individual
- Enumerated
- Mar 20, 2023
- Last Updated
- Jan 31, 2024
Nearby Providers
-
DR. GARY MORGAN, O.D.
Optometrist
-
MARK THIELE, PA-C
Physician Assistant
-
JANINE SMITH
Registered Nurse
-
PAUL PFLUEGER, MD
Orthopaedic Surgery
-
STACY MASTEN, M.S.W., L.C.S.W.
Social Worker - Clinical