Doctor Name: | FRANCES MARGARET MATUSZEWSKI |
NPI Number: | 1295955821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 288667-4405 |
Business Practice Address: | 85 W Vine St Tooele, UT - 840742034 |
Business Phone Number: | 4358826432 |
Business Fax Number: | |
Mailing Address: | 100 S 1000 W, TOOELE |
State: | UT |
Postal Code: | 840744010 |
Phone Number: | 4358433520 |
Fax Number: | 4358433555 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 288667-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |