MRS. COLLEEN FRANCES MATULAITIS NP NPI 1609258664

NPI Information

  • NPI: 1609258664
  • Provider Name: MRS. COLLEEN FRANCES MATULAITIS, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11101 CATHAGE RD.
    SUITE 102
    BERLIN, MD
    ZIP 21811
  • Phone: (410) 912-6104

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NPI Details

MRS. Colleen Frances Matulaitis, NP is a family nurse practitioner in Berlin, MD. MRS. Colleen Frances Matulaitis, NP NPI is 1609258664. 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:

11101 CATHAGE RD.
SUITE 102
BERLIN, MD
ZIP 21811
Phone: (410) 912-6104
Fax: (410) 912-6105

The NPI 1609258664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2015 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR076432MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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