Nikki Isis Matus, NURSE PRACTITIONER
NPI #1063142529 in Stony Brook, New York
Provider Information
- NPI Number
- 1063142529
- Entity Type
- Individual
- Name
- Nikki Isis Matus, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jun 16, 2022
- Last Updated
- Jun 16, 2022
Practice Location
- Address
- 101 NICOLLS RD
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 807-4241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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