# NYGIL MATTHEWS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215448501
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | 1088484 | TX | — |
| 363LP2300X | Primary Care Nurse Practitioner | 1088484 | TX | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 8073-33 | WI | — |

## Other

- **Enumeration date:** 10/13/2017
- **Last updated:** 11/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1215448501 | — | WI |