| Doctor Name: | DR. ELIZABETH CARRIE MATRE |
| NPI Number: | 1366899486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, FNP-BC |
| License Number: | COA.18940-NP |
| Business Practice Address: | 1885 West Henderson Rd Upper Arlington, OH - 432202501 |
| Business Phone Number: | 6143542449 |
| Business Fax Number: | |
| Mailing Address: | 3312 Medoma Dr, COLUMBUS |
| State: | OH |
| Postal Code: | 432042181 |
| Phone Number: | 6143542449 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.18940-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |