Mikklena M Matthews in Sheridan - Family
Mikklena M Matthews - NPI 1821170051
Mikklena M Matthews is a Family in Sheridan, . Mikklena M Matthews practices all healthcare services and medical treatments related to Family. The NPI Number for Mikklena M Matthews is 1821170051. The last update date is 2021-09-14.
Mikklena M Matthews's current location address is 1898 Fort Rd, Sheridan, . You can contact this provider via phone number 3076723473 and fax number 3076721939. The mailing address for Mikklena M Matthews is 1898 Fort Rd, Sheridan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mikklena M Matthews |
|---|---|
| Address | 1898 Fort Rd, Sheridan, |
| Phone Number | 3076723473 |
| Fax Number | 3076721939 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1821170051 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2021-09-14 |
Provider Mailing Address Detail
| Address | 1898 Fort Rd |
|---|---|
| City | Sheridan |
| State | (WY) |
| Post Code | 828018320 |
| Phone Number | 3076723473 |
| Fax Number | 3076721939 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1146 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39258 | IA | BCBSNE FOR IOWA | |
| 100251147-00 | IA | -- | |
| 254537 | NE | MIDLANDS CHOICE FOR NERBASKA | |
| 39139 | NE | BCBSNE | |
| 254537 | IA | MIDLANDS CHOICE FOR IOWA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mikklena M Matthews?
The Mikklena M Matthews has been issued the NPI (National Provider Identifier) 1821170051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Mikklena M Matthews is physically located?
The Mikklena M Matthews is physically situated at the following address: 1898 Fort Rd, Sheridan, WY, 828018320.
What is the Mikklena M Matthews's specialty and taxonomy code?
The Mikklena M Matthews's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821170051 to Mikklena M Matthews?
The Centers for Medicare & Medicaid Services assigned the 1821170051 to Mikklena M Matthews on 2006-10-19.
As of what date were the details pertaining to Mikklena M Matthews last refreshed?
The information related to the Mikklena M Matthews, including its address, specialty, and other relevant details, was last updated on 2021-09-14.
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