IndividualActive
Tianna Kates-Matthew
NPI 1720964869 · Nurse's Aide · West Simsbury, CT
Provider details
- NPI number
- 1720964869
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- CTNY91310664E (CT)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
52 Canton Rd
West Simsbury, CT 06092
Phone: (914) 512-4107
Approximate (ZIP-level) locationGet directions
Mailing address
52 Canton Rd
West Simsbury, CT 06092
Registry dates
- Enumerated
- 2025-08-13
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.