MEDICARE: MRS. KEEGAN MATCHETT MSN, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	113943-23	NH

General Provider Information

NPI Number	:	1376337113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KEEGAN MATCHETT MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	128 ROUTE 27
Second Line	:
City	:	RAYMOND
State	:	NH
Zip	:	03077-1230
Country	:	US
Telephone Number	:	603-895-3351
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 E BOONE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99258-0001
Country	:	US
Telephone Number	:	509-328-4220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	09/16/2025

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