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Mrs. Roneisa Matero, NP
Family Nurse Practitioner in Tyler, Texas
NPI 1508812512

Roneisa Matero is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Roneisa Matero practices in Tyler, TX and has the professional credentials of NP. The NPI Number for Roneisa Matero is 1508812512 and holds a License No. 697561 (Texas).

The current practice location address for Roneisa Matero is 5414 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-581-1601.

Location: 5414 S Broadway Ave, Tyler, TX, 75284-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508812512
Provider Name
Roneisa Matero
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5414 S Broadway Ave, Tyler, TX, 75284-1656
Phone Number
903-581-1601
Fax Number
Provider Enumeration Date
05/25/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
162890113 05 TX
P01569232 01 TX RAIL ROAD MEDICARE
162890112 05 TX
P01570031 01 TX RAIL ROAD MEDICARE
162890114 05 TX
institution
Provider Business Practice Location Address Details
Address
5414 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-1335
Phone Number
903-581-1601
Fax Number
person
Provider Business Mailing Address Details
Address
5414 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-1335
Phone Number
903-581-1601
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP112670 (Texas)
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.
697561 (Texas)
Definition
Definition to come...
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