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

Chantal Tiffany Therese Mattar, NP

Individual provider Acute Care Nurse Practitioner · NPI 1366291809

Chantal Tiffany Therese Mattar, NP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2023, 3 years ago. Practices with Nephrology Associates of Michigan PC, a 20-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12121 Broadstreet Ave
Detroit, MI 48204-1550
Phone: (313) 824-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10809 Mack Ave, Detroit, MI 48214-2119 — (313) 824-1000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704288255 (MI)

Record details

NPI number1366291809
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESOctober 6, 2024
Certification dateOctober 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nephrology Associates Of Michigan Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Detroit