NPI 1003664525

Herbert Matanga, CNP

Practitioner Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Rogers, MN

Practice location

Address: 19427 136th Ave N, Rogers, MN 55374-4834
Phone: (763) 516-4476

Registered specialties

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0807X Licence 11557 (MN)

Other Clinical Nurse Specialist providers in Minnesota →

Registry record

NPI: 1003664525
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2024
Record last updated: 9 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.