Marianne Matzo, PHD, GNP-BC, FAAN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

82425 Issued in OK

Practice address

800 NE 10TH St
Oklahoma City, OK 73104-5418

Phone

(405) 271-4385

Fax

(405) 271-7228

NPI assigned

Jul 23, 2008

Last updated

Apr 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1780849380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-4385",
            "fax_number": "405-271-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 10TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045418",
            "telephone_number": "405-271-4385",
            "fax_number": "405-271-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZO",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, GNP-BC, FAAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "82425",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "OK",
            "license": "R0082425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Matthews, AUD CCCA
• Austin Ray Matthiessen
• Linda Luann Mattia, M.ED. L.B.P.
• Clay Mattox
• John Matye Jr.
• Sydney Mauck, MD
• Sukcha Maudie, APRN
• Tazeen Maududi, MD
• Shelbie Gwinn Mauk, CRNA
• Mauldin Counseling

• Gerontology Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Gerontology Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.