Healthcare Provider Details

I. General information

NPI: 1386574630
Provider Name (Legal Business Name): PAULA KRISTINE MATAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CROSS ST
AKRON OH
44311-1026
US

IV. Provider business mailing address

150 CROSS ST 892 CLIFFORD AVE
AKRON OH
44311-1026
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-9141
  • Fax: 330-253-0377
Mailing address:
  • Phone: 330-996-9141
  • Fax: 330-253-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.417304
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: