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MRS. SHARON DENISE CLAY MATEMAVI NURSE PRACTITIONER
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1144213091
Individual Registrant:MRS. SHARON DENISE CLAY MATEMAVI NURSE PRACTITIONER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
34875 POURROY RD APT 1408 WINCHESTER, CA 92596-8184 US
Tel: 281-795-3945 Fax: --
Tel: 281-795-3945 Fax: --
Contact information for business:
34875 POURROY RD APT 1408 WINCHESTER, CA 92596-8184 US
Tel: 281-795-3945 Fax: --
Tel: 281-795-3945 Fax: --
Registration Information:
NPI: 1144213091
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | TX | 257939 |
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | TX | 35300722 |
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95003191 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
