Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IBTISAM MATTA, RN
ActiveIBTISAM MATTA, RN is a Psychiatric/Mental Health Nurse healthcare provider located in GRAND RAPIDS, Michigan. NPI 1063176543 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1063176543
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2021 (4.7949556643545 yrs)
- Last Updated
- Oct 29, 2021
- License
-
4704359386 (MI)
Practice Information
- Address
-
790 FULLER AVE NEGRAND RAPIDS, MI, 495031918Browse MI providers · Browse ZIP 49503
- Phone
- 6163363765
- Primary Specialty
-
Psychiatric/Mental Health Nurse
163WP0807X
Other Psychiatric/Mental Health Nurse Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| CAROLINE LYNCH | — | 1154861433 |
| MRS. STEPHANIE LYNN LECOMPTE | RN | 1184116188 |
| ANNA DERR | — | 1730673468 |
| MAIRA IBETTE PEREZ | BSN, RN | 1407313844 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.