NPI 1528883212

Mary Mata, BSNRN

Practitioner Student in an Organized Health Care Education/Training Program Shawnee, KS

Practice location

Address: 14506 W 58th St, Shawnee, KS 66216-4663
Phone: (913) 530-8553

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1528883212
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2024
Record last updated: 19 Nov 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.