Mario Mata
Mario Mata is a Nurse Practitioner in Kirkland, Washington. Qualified in 2018, 8 years ago. Practices with Rejuvenation Medical PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 8
- Licensed in
- WA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
10200 NE 132nd StKirkland, WA 98034-2831
Phone: (425) 821-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence AP60886621 (WA) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence AP60886621 (WA) |
Record details
| NPI number | 1053057117 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2022 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
| Mailing address | 19435 68th Ave S Ste S101, Kent, WA 98032-2114 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Rejuvenation Medical Pllc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Kirkland
-
Dr. Creseta G Simmons, AGNP-C
11417 124th Ave NE Ste 100, Kirkland, WA 98033-4677 · (800) 640-3451