Haylie Ashtyn Mata, | |
50 E 2040 Rd, Boswell, OK 74727-9385 | |
(580) 920-5870 | |
Not Available |
Full Name | Haylie Ashtyn Mata |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 50 E 2040 Rd, Boswell, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992525976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 220582 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Haylie Ashtyn Mata, 50 E 2040 Rd, Boswell, OK 74727-9385 Ph: (580) 920-5870 | Haylie Ashtyn Mata, 50 E 2040 Rd, Boswell, OK 74727-9385 Ph: (580) 920-5870 |
Amanda Lyn Vandenburg, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 6th Street, Boswell, OK 74727 Phone: 580-566-2530 Fax: 580-566-2533 | |
Jodie H Moore, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Boswell, OK 74727 Phone: 580-566-2530 Fax: 580-566-2533 |