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NPI Code Detail

MEDICARE: MS. FIONA DENAIRE MATTHEWS LPN

MEDICARE:  MS. FIONA DENAIRE MATTHEWS  LPN
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
1164W00000XLicensed Practical Nurse2701681NY

General Provider Information

NPI Number : 1750613246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FIONA DENAIRE MATTHEWS LPN
Provider Business Mailing Address
First Line : 21 BROAD ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-4028
Country : US
Telephone Number : 845-956-5078
Fax Number :
Provider Business Practice Location Address
First Line : 21 BROAD ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-4028
Country : US
Telephone Number : 845-956-5078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2010
Last Update Date : 02/08/2010

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Directions to “ MS. FIONA DENAIRE MATTHEWS LPN” Practice Location

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