Haylie Ashtyn Mata Valid NPI

Individual provider · Family Nurse Practitioner · Boswell, OK

NPI

1992525976

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

220582 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2024-10-14

Last updated

2024-10-14