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General NPI Number Information
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NPI Number | 1033007877
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Entity Type | Individual
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Provider Name | MRS. ISABELLA K MATE
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Gender | Female
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3219 CORPORATE CT
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2247
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Country | US
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Telephone | 410-220-0396
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Fax | 410-220-2264
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Provider Business Mailing Address
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Address Line | 299 DELLCREST DR
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City | FOREST HILL
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State | MD
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Zip | 21050-2803
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Country | US
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Telephone | 443-939-8233
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R256474
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License Number State | MD
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