Most Relevant Information
Provider Data
| NPI Number: | 1003664525 |
| Provider Name: | HERBERT MATANGA CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 364SP0807X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 11557 |
Most Important Dates
| Enumeration Date: | 05/09/2024 |
| Last Updated: | 05/09/2024 |
Provider Practice Location
19427 136TH AVE N
ROGERS
MN
553744834
Practice Location Phone/Fax
| Phone: | 7635164476 |
| Fax: |
Provider Mailing Location
19427 136TH AVE N
ROGERS
MN
553744834
Provider Mailing Phone/Fax
| Phone: | 7635164476 |
| Fax: |