Mircia Matos, RN
Individual provider Active NPI Registered Nurse · N Little Rock, AR
NPI 1962075622 · NPPES record last updated Jul 21, 2021
Key facts
- NPI
- 1962075622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R092350 (AR)
- Practice address
- 4405 E 46TH St Apt 20
N Little Rock, AR 72117-1966 - Phone
- (501) 259-3271
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R092350 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R092350 | AR | Yes |
Addresses
Primary practice location
4405 E 46TH St Apt 20
N Little Rock, AR 72117-1966
Mailing address
4405 E 46TH St Apt 20
N Little Rock, AR 72117-1966
Phone (501) 259-3271
Other providers in N Little Rock, AR
- Govinda Prasad Lohani
- Lyndro Enterprises LLC
- Susan Kay Martin
- Mary Medical Equipment and Supplies LLC
- Chad D Matone
- Julia M McCoy
- Annette P Meador
- Medlinc Inc
- Steven F Molpus
- Karla Leann Morris
All providers in N Little Rock, AR · Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.