MS. YOLANDA MATA


Address: 257 N Dewitt Ave, Fresno, CA 93727-3312
Phone: 5592551373

MS. YOLANDA MATA (NPI# 1003123183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003123183
Entity Type Individual
Full Name MS. YOLANDA MATA
Credential FNP
Practice Address 257 N Dewitt Ave
Fresno
CA 93727-3312
Practice Telephone 5592551373
Mailing Telephone 5592551373
Enumeration Date 2010-09-09
Last Update Date 2010-09-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
18836 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 257 N DEWITT AVE
City FRESNO
State CA
Zip Code 93727-3312

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1609244730 Baltej Singh Sidhu Nurse Practitioner 2615 E Clinton Ave, Fresno, CA 93703-2223 2015-09-06

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Competitor

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City FRESNO
Zip Code 93727

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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