Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA JEAN MATUSZAK, MS,RD,LD,CNSC
ActiveOncology Nutrition · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1366308009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 26, 2025 (0.32112493183606 yrs)
- Last Updated
- Dec 26, 2025
- License
-
LD-0674 (NM)
Practice Information
- Address
-
1201 CAMINO DE SALUD NEALBUQUERQUE, NM, 871024517Browse NM providers · Browse ZIP 87102
- Phone
- 5052724946
- Primary Specialty
-
Oncology Nutrition
133VN1301X
Other Oncology Nutrition Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. KELLY M DUNN | BS, LD, RDN, CNSC | 1952783540 |
| ERNESTINE R TRUJILLO | MS, RD, LD | 1831733757 |
| MR. JERRY LAN TUCKER | RDN | 1952095556 |
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.