National Provider Identifier
Johnna Matias
Johnna Matias is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Niagara Falls, NY and a listed phone number of (716) 343-0796.
Profile Overview
- NPI
- 1063883189
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 15, 2015
- Last Updated
- October 15, 2015
Practice Location
- 2225 Tuscarora RD
- Niagara Falls, NY 14304-1814
Phone: (716) 343-0796
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1063883189
- Entity Type
- Individual
- Last Name
- Matias
- First Name
- Johnna
- Mailing Street Address
- 2225 Tuscarora RD
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-1814
- Mailing Country
- US
- Practice Street Address
- 2225 Tuscarora RD
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-1814
- Practice Country
- US
- Practice Phone
- (716) 343-0796
- Enumeration Date
- October 15, 2015
- Last Updated
- October 15, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)