Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE MATUKAITIS, CRNP
ActiveWound, Ostomy and Continence Nurse · SHAMOKIN, PA
Registration Details
- NPI Number
- 1700957214
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2006 (19.440402378386 yrs)
- Last Updated
- Mar 6, 2012
- License
-
RN507564L (PA)
Practice Information
- Address
-
10 E INDEPENDENCE STSHAMOKIN, PA, 178726804Browse PA providers · Browse ZIP 17872
- Phone
- 5706480582
- Primary Specialty
-
Wound, Ostomy and Continence Nurse
163WW0101X
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.