Matakas, Ann M
Matakas, Ann M is an individual health care provider with primary practice located at 402 W Country Club Rd , Roswell NM 88201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matakas, Ann M can be contacted via phone (575) 637-7000.Contact Information
Primary practice address
402 W Country Club Rd
Roswell NM 88201
Phone: (575) 637-7000
Fax: (575) 637-7019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 691067 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-03502 | New Mexico |
Profile Details
| NPI number | 1265793319 |
|---|---|
| LBN Legal business name | Matakas, Ann M |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Jun 14th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265793319 | NPPES |
| New Mexico | Other | 634354YYH0 | MEDICARE |
| New Mexico | MEDICAID | 79679021 | MEDICARE |
| New Mexico | Other | 1265793319 | MEDICARE |
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