Ibtisam Matta, RN is a psychiatric/mental health and child and adolescent registered nurse in Grand Rapids, MI. Ibtisam Matta, RN NPI is 1063176543. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503-918
Phone: (616) 336-3765
The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.