Herbert Matanga, CNP is a
Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent based in Rogers, Minnesota. Herbert Matanga is licensed to practice in Minnesota (license number 11557) and his current practice location is
19427 136th Ave N, Rogers, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 516-4476.
NPI number for Herbert Matanga is 1003664525 and his current mailing address is 19427 136th Ave N, Rogers, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003664525.
Provider's Profile
Full Name | Herbert Matanga |
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Gender | Male |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
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Location | 19427 136th Ave N, Rogers, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003664525
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 05/09/2024
Medical Identifiers
Medical identifiers for Herbert Matanga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003664525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 11557 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Herbert Matanga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Herbert Matanga, CNP 19427 136th Ave N, Rogers, MN 55374-4834 Ph: (763) 516-4476 | Herbert Matanga, CNP 19427 136th Ave N, Rogers, MN 55374-4834 Ph: (763) 516-4476 |
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