Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Mata, RN

Individual provider Registered Nurse · NPI 1376008557

Amanda Mata, RN is a Registered Nurse in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

13305 Reeck Ct
Southgate, MI 48195-3197
Phone: (734) 225-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704319275 (MI)

Record details

NPI number1376008557
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESFebruary 1, 2019
Mailing address6549 Town Center Dr Ste A, Clarkston, MI 48346-4824

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