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NPI Code Detail

MEDICARE: NATA MATTHEWS DNP

MEDICARE:   NATA  MATTHEWS  DNP
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
1363LF0000XFamily Nurse Practitioner107036OK
2363LF0000XFamily Nurse PractitionerA005855AR

General Provider Information

NPI Number : 1346724887
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATA MATTHEWS DNP
Provider Business Mailing Address
First Line : 3700 CLIFF DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5954
Country : US
Telephone Number : 479-259-9286
Fax Number : 479-259-9362
Provider Business Practice Location Address
First Line : 3700 CLIFF DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5954
Country : US
Telephone Number : 479-259-9286
Fax Number : 479-259-9362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 07/26/2022

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Directions to “ NATA MATTHEWS DNP” Practice Location

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