Healthcare Provider Details
I. General information
NPI: 1447802640
Provider Name (Legal Business Name): BARBARA MATO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/09/2019
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1034 BATTLEFIELD BLVD S STE 100
CHESAPEAKE VA
23322-4215
US
IV. Provider business mailing address
708 LINDEN CT
VIRGINIA BEACH VA
23462-4914
US
V. Phone/Fax
- Phone: 757-312-2299
- Fax: 757-312-2256
- Phone: 361-288-0386
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0024177765 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: