| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANASTASIA NANYONGO MATUTE | 1669932976 | 2024-10-13 |
Anastasia Nanyongo Matute is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669932976. Registration indicates Anastasia Nanyongo Matute is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Anastasia Nanyongo Matute |
| Practice Office Address | 2100 VIRGINIA ST GRAND PRAIRIE, TX US |
| Practice Office Telephone | 4054361909 |
| Mailing Address | 2100 VIRGINIA ST GRAND PRAIRIE, TX 750513796 US |
| Business Telephone | 4054361909 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 904608
TX |
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 1156040
TX |