| NPI | 1619368842 |
|---|---|
| Doing Business As | MATRIX MEDICAL NETWORK |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PETERSON Manager 877-564-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-07-25 |