Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN MICHAEL BLANCO MATA, NP
Active Sole ProprietorJOHN MICHAEL BLANCO MATA, NP is a Nurse Practitioner healthcare provider located in PRESCOTT, Arizona. NPI 1639871247 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PRESCOTT, AZ
Registration Details
- NPI Number
- 1639871247
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2023 (3.4233856199995 yrs)
- Last Updated
- Jan 31, 2024
- Licenses
-
267971 (AZ)267971 (AZ)267971 (AZ)267971 (AZ)267971 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3250 GATEWAY BLVD STE 112PRESCOTT, AZ, 863036856Browse AZ providers · Browse ZIP 86303
- Phone
- 7082480049
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Critical Care Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
Other Nurse Practitioner Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| ANNE M BENSON | FNPC | 1487780482 |
| KAREN RENE BUNTIN | F.N.P. | 1568582591 |
| KIMBERLY CARLSON STOVER | NP-C | 1285817122 |
| JAMES DEREK CALHOUN | APRN | 1245542331 |
| ROBYN CLOW | FNP-C | 1306186572 |
| LAUREN KATHERINE MILLS | AGACNP | 1376921023 |
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.