Active NPIIndividual provider

Angela L Matera, MSN

Nurse Practitioner, Pediatrics in Stamford, Connecticut

NPI Number1609053800
Practice location
141 Franklin St, Franklin Street Community Health Center, Stamford, CT 06901-1014
Fax
203-357-0162
Last updated
November 19, 2010

Angela L. Matera is a Nurse Practitioner, Pediatrics based in Stamford, CT. Angela L. Matera practices in Stamford, CT and has the professional credentials of MSN. The NPI Number for Angela L. Matera is 1609053800 and holds a License No. 003207 (CT). The current practice location address for Angela L. Matera is 141 Franklin St, Franklin Street Community Health Center, Stamford, CT 06901-1014 and can be reached out via phone at 203-969-0802 and via fax at 203-357-0162.

Provider Profile Details

NPI Number
1609053800
Provider Name
Angela L. Matera
Credential
MSN
Provider Entity Type
Individual
Gender
Female
Address
141 Franklin St, Franklin Street Community Health Center, Stamford, CT 06901-1014
Phone Number
203-969-0802
Fax Number
203-357-0162
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2008
Last Update Date
November 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 Franklin St
Franklin Street Community Health Center
Stamford, CT 06901-1014
Zip
06901-1014
Phone Number
203-969-0802
Fax Number
203-357-0162
Stamford, CT 06901Get directions →

Provider Business Mailing Address Details

Address
635 Main St
Attn: Credentialing Dpt
Middletown, CT 06457-2718
City
Middletown
State
CT
Zip
06457-2718
Phone Number
860-347-6971
Fax Number
860-638-6601

License Information

License Number (1)
003207
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary
License Number (2)
438138
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angela L Matera, MSN?

The NPI number of Angela L Matera, MSN is 1609053800. It was assigned on January 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Angela L Matera, MSN?

Angela L Matera, MSN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 003207.

Where does Angela L Matera, MSN practice?

The practice location is 141 Franklin St, Franklin Street Community Health Center, Stamford, CT 06901-1014. The office can be reached at 203-969-0802 (phone) or 203-357-0162 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609053800 directly on the NPPES registry website.

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