Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR DIANNE MATAKIS, CPM
Active Sole ProprietorTAYLOR DIANNE MATAKIS, CPM is a Midwife healthcare provider located in FARIBAULT, Minnesota. NPI 1366084600 is currently active in the NPPES registry. Verify at CMS.
Midwife · FARIBAULT, MN
Registration Details
- NPI Number
- 1366084600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2019 (6.8079493473743 yrs)
- Last Updated
- Sep 24, 2020
- Licenses
-
99386 (TX)1082 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 12TH ST NEFARIBAULT, MN, 550213812Browse MN providers · Browse ZIP 55021
- Phone
- 2542907702
- Primary Specialty
-
Midwife
176B00000X
- Additional Specialty
- Midwife
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.