MS. ABIMBOLA ADENIKE MATTI CNP NPI 1386931178

NPI Information

NPI: 1386931178
Provider Name: MS. ABIMBOLA ADENIKE MATTI, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
732 E LAKE ST
PAIN RELIEF CENTER OF MINNESOTA
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 516-3737
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MS. Abimbola Adenike Matti, CNP is an adult health nurse practitioner in Minneapolis, MN. MS. Abimbola Adenike Matti, CNP NPI is 1386931178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

732 E LAKE ST
PAIN RELIEF CENTER OF MINNESOTA
MINNEAPOLIS, MN
ZIP 55407-547
Phone: (612) 516-3737

The NPI 1386931178 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2011 and was last updated on 12/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	G0210002	MINNESOTA	No
2	363LA2200X	Nurse Practitioner	Adult Health	A1209274	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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