Matiska, Maureen

Matiska, Maureen is an individual health care provider with primary practice located at 1172 West Main St , Stroudsburg PA 18360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matiska, Maureen can be contacted via phone (570) 424-6187.

Contact Information

Primary practice address
1172 West Main St Stroudsburg PA 18360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X TP004988B Pennsylvania

Profile Details

NPI number 1871704999
LBN Legal business name Matiska, Maureen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871704999 NPPES
Pennsylvania Other 023020KRE PROVIDER

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