Most Relevant Information
Provider Data
| NPI Number: | 1003648056 |
| Provider Name: | KIMBERLY MATEJKA FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 286645 |
Most Important Dates
| Enumeration Date: | 08/19/2024 |
| Last Updated: | 08/19/2024 |
Provider Practice Location
3530 S VAL VISTA DR STE 214
GILBERT
AZ
852977324
Practice Location Phone/Fax
| Phone: | 4807189960 |
| Fax: |
Provider Mailing Location
10631 E SOUTHERN AVE APT 2089
MESA
AZ
852097231
Provider Mailing Phone/Fax
| Phone: | 7089972194 |
| Fax: |