# MATTHEW WILLIAM MEDINA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649835570
- **Gender:** Man
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN2264206 | MA | — |
| 207V00000X | Obstetrics & Gynecology Physician | RN2264206 | MA | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | RN2264206 | MA | — |
| 367A00000X | Advanced Practice Midwife | — | MA | Yes |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 07/28/2021