Healthcare Provider Details

I. General information

NPI: 1568271898
Provider Name (Legal Business Name): MATTHEW STEPHEN ARROYO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BLYTHE BLVD
CHARLOTTE NC
28203-5812
US

IV. Provider business mailing address

6802 LITTLE REDWOOD DR
PASADENA TX
77505-4417
US

V. Phone/Fax

Practice location:
  • Phone: 704-446-5185
  • Fax: 704-446-0221
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number884606
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number5021599
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: