person
Alice Matukaitis, CRNP
Ambulatory Women's Health Care Registered Nurse in Shamokin, Pennsylvania
NPI 1700957214

Alice Matukaitis is an Ambulatory Women's Health Care Registered Nurse based in Lewisburg, PA and is specialized in Women's Health Care, Ambulatory. Alice Matukaitis practices in Shamokin, PA and has the professional credentials of CRNP. The NPI Number for Alice Matukaitis is 1700957214 and holds a License No. RN507564L (Pennsylvania).

The current practice location address for Alice Matukaitis is 10 E Independence St, Shamokin, PA and can be reached out via phone at 570-648-0582.

Location: 10 E Independence St, Shamokin, PA, 17837
person
Provider Profile Details
NPI Number
1700957214
Provider Name
Alice Matukaitis
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
10 E Independence St, Shamokin, PA, 17837
Phone Number
570-648-0582
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50004271 01 PA BLUE CROSS PROVIDER NO.
MA1332162 01 PA BLUE SHIELD PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
10 E Independence St
City
State
Zip
17872-6804
Phone Number
570-648-0582
Fax Number
person
Provider Business Mailing Address Details
Address
10 E Independence St
City
State
Zip
17872-6804
Phone Number
570-648-0582
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Women's Health Care, Ambulatory
Taxonomy
License No.
RN507564L (Pennsylvania)
Definition
Definition to come...
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