Guadalupe S Mata, CNP
NPI #1700608775 in Santa Rosa, New Mexico
Provider Information
- NPI Number
- 1700608775
- Entity Type
- Individual
- Name
- Guadalupe S Mata, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CNP
- Enumeration Date
- Oct 30, 2024
- Last Updated
- Oct 30, 2024
Practice Location
- Address
- 117 CAMINO DE VIDA STE 300
- City
- Santa Rosa
- State
- New Mexico
- ZIP Code
- 88435-2267
- Phone
- (575) 472-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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