MARY NATSAI MATSHOBA NP
NPI 1801464623
Nurse Practitioner - Gerontology in Tucker, GA

Q: What is Mary Matshoba's NPI number?

The NPI number for Mary Matshoba is 1801464623. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Q: What is Mary Matshoba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Mary Matshoba was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2021

2484 WYNSLEY WAY, TUCKER, GA 30084(248) 894-6784 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mary Natsai Matshoba Np NPPES

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

MARY NATSAI MATSHOBA NP (NPI 1801464623) is an individual gerontology provider in Tucker, Georgia, licensed in Georgia (AG04210053) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1801464623

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMARY NATSAI MATSHOBACredential: NP

Location Address2484 WYNSLEY WAYTucker, GA 30084-3767

Mailing Address2484 Wynsley WayTucker, GA 30084-3767 · (248) 894-6784

Phone(248) 894-6784

Sole ProprietorYes

Enumeration DateJune 16, 2021

NPPES CertifiedJune 16, 2021

✔ NPI 1801464623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in GA · AG04210053

2484 WYNSLEY WAY, Tucker, GA 30084

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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 Mary Matshoba's NPI number?

The NPI number for Mary Matshoba is 1801464623. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Mary Matshoba located?

Mary Matshoba practices at 2484 Wynsley Way, Tucker, GA 30084. The listed phone number is (248) 894-6784.

What is Mary Matshoba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mary Matshoba was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.