NPI | 1497362685 |
---|---|
Former Name | MATTHEW ANDREW CONTRERAS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 836843) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 836843) |
163WC0400X Registered Nurse, Case Management (Licence: TX 836843) | |
163WH0200X Registered Nurse, Home Health (Licence: TX 836843) | |
163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 836843) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 836843) | |
163WW0000X Registered Nurse, Wound Care (Licence: TX 836843) | |
163WX1500X Registered Nurse, Ostomy Care (Licence: TX 836843) | |
Enumeration Date | 2020-09-30 |
Last Update Date | 2025-04-13 |