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Mrs. Michelle Renea Mata, FNP-BC
Family Nurse Practitioner in Santee, California
NPI 1932807112

Michelle Renea Mata is a Family Nurse Practitioner based in Santee, CA and is specialized in Family. Michelle Renea Mata practices in Santee, CA and has the professional credentials of FNP-BC. The NPI Number for Michelle Renea Mata is 1932807112 and holds a License No. 95024337 (California).

The current practice location address for Michelle Renea Mata is 10109 Ashdale Ln, Santee, CA and can be reached out via phone at 619-560-3454.

Location: 10109 Ashdale Ln, Santee, CA, 92071-1635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932807112
Provider Name
Michelle Renea Mata
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
10109 Ashdale Ln, Santee, CA, 92071-1635
Phone Number
619-560-3454
Fax Number
Provider Enumeration Date
02/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10109 Ashdale Ln
City
Santee
State
California
Zip
92071-1635
Phone Number
619-560-3454
Fax Number
person
Provider Business Mailing Address Details
Address
10109 Ashdale Ln
City
Santee
State
California
Zip
92071-1635
Phone Number
619-560-3454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95024337 (California)
Definition
Definition to come...
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