Matava, Vicki Jo
Matava, Vicki Jo is an sole proprietor health care provider with primary practice located at 5625 Eiger Rd Ste 220 , Austin TX 78735-8982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Matava, Vicki Jo can be contacted via phone (512) 899-2028.Contact Information
Primary practice address
5625 Eiger Rd Ste 220
Austin TX 78735-8982
Phone: (512) 899-2028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 1051682 | Texas |
Profile Details
| NPI number | 1952077679 |
|---|---|
| LBN Legal business name | Matava, Vicki Jo |
| Credentials | MSN, APRN, AGCNS-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2021 |
| Last updated | Aug 22nd, 2021 - about 4 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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