Provider Demographics
NPI:1184388167
Name:MATUS, CARLA AMAT (FNP)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:AMAT
Last Name:MATUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2647
Mailing Address - Country:US
Mailing Address - Phone:720-935-0351
Mailing Address - Fax:
Practice Address - Street 1:101 ERIE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-4071
Practice Address - Country:US
Practice Address - Phone:303-415-5810
Practice Address - Fax:303-415-5820
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997026-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily