MIKKLENA M MATTHEWS FNP NPI 1821170051

NPI Information

NPI: 1821170051
Provider Name: MIKKLENA M MATTHEWS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1898 FORT RD
SHERIDAN, WY
ZIP 82801
Phone: (307) 672-3473
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Mikklena M Matthews, FNP is a family nurse practitioner in Sheridan, WY. Mikklena M Matthews, FNP NPI is 1821170051. 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:

1898 FORT RD
SHERIDAN, WY
ZIP 82801-320
Phone: (307) 672-3473

The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/14/2021.

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	363A00000X	Physician Assistant		AP3293	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	1146	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	254537	OTHER	NEBRASKA	MIDLANDS CHOICE FOR NERBASKA
2	39258	OTHER	IOWA	BCBSNE FOR IOWA
3	100251147-00	MEDICAID	IOWA
4	254537	OTHER	IOWA	MIDLANDS CHOICE FOR IOWA
5	39139	OTHER	NEBRASKA	BCBSNE

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: 11/14/2023

NPI Synchronization or Removal

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