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Mrs. Tania Marie Mattioli, NP
Nurse Practitioner in Winston Salem, North Carolina
NPI 1396184362

Tania Marie Mattioli is a Nurse Practitioner based in Charlotte, NC. Tania Marie Mattioli practices in Winston Salem, NC and has the professional credentials of NP. The NPI Number for Tania Marie Mattioli is 1396184362 and holds a License No. 209505 (North Carolina).

The current practice location address for Tania Marie Mattioli is 190 Kimel Park Dr Ste 155, Winston Salem, NC and can be reached out via phone at 336-765-6637 and via fax at 336-765-6964.

Location: 190 Kimel Park Dr Ste 155, Winston Salem, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396184362
Provider Name
Tania Marie Mattioli
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
190 Kimel Park Dr Ste 155, Winston Salem, NC, 28260-0447
Phone Number
336-765-6637
Fax Number
336-765-6964
Provider Enumeration Date
06/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
190 Kimel Park Dr Ste 155
City
Winston Salem
State
North Carolina
Zip
27103-6946
Phone Number
336-765-6637
Fax Number
336-765-6964
person
Provider Business Mailing Address Details
Address
190 Kimel Park Dr Ste 155
City
Winston Salem
State
North Carolina
Zip
27103-6946
Phone Number
336-765-6637
Fax Number
336-765-6964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5006244 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209505 (North Carolina)
Definition
Definition to come...
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