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

Tamisha Matos

Individual provider Licensed Practical Nurse · NPI 1679148308

Tamisha Matos is a Licensed Practical Nurse in Lowell, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021

Practice location Address checks out

22 Old Canal Dr
Lowell, MA 01851-2730
Phone: (978) 452-5155
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LN97108 (MA)

Record details

NPI number1679148308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address22 Old Canal Dr, Lowell, MA 01851-2730

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