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MATAEO JOHN ANDERSON
NPI 1063284305
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since October 30, 2023
1332 N YALE AVE, TULSA, OK 74115(405) 287-9711 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mataeo John Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATAEO JOHN ANDERSON (NPI 1063284305) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1063284305
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATAEO JOHN ANDERSON
Location Address1332 N YALE AVETulsa, OK 74115-5361
Mailing Address1332 N Yale AveTulsa, OK 74115-5361 · (405) 287-9711
Phone(405) 287-9711
Sole ProprietorNo
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 29, 2023
✔ NPI 1063284305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1332 N YALE AVE, Tulsa, OK 74115
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mataeo Anderson's NPI number?

The NPI number for Mataeo Anderson is 1063284305. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Mataeo Anderson located?

Mataeo Anderson practices at 1332 N Yale Ave, Tulsa, OK 74115. The listed phone number is (405) 287-9711.

What is Mataeo Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mataeo Anderson was last updated on October 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.