IndividualActive
Amy Matta
NPI 1104290386 · Adult Health Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1104290386
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SP015648 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 349-8310
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4238
Registry dates
- Enumerated
- 2015-11-25
- Last updated
- 2015-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.