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NPI Code Detail

MEDICARE: MS. NANCY ELIZABETH MATTHEWS RN

MEDICARE:  MS. NANCY ELIZABETH MATTHEWS  RN
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
1163WM0102XMaternal Newborn Registered Nurse059066NC

General Provider Information

NPI Number : 1932181021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY ELIZABETH MATTHEWS RN
Provider Business Mailing Address
First Line : 1444 JEFFREYS RD
Second Line : PMB 226
City : ROCKY MOUNT
State : NC
Zip : 27804-1820
Country : US
Telephone Number : 252-801-8530
Fax Number :
Provider Business Practice Location Address
First Line : 1081 N CHINA LAKE BLVD
Second Line : RIDGECREST REGIONAL HOSPITAL
City : RIDGECREST
State : CA
Zip : 93555-3130
Country : US
Telephone Number : 760-446-3551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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