Individual
HANNAH THERESA MATVIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
380 W NORTH ST, MANHATTAN, IL 60442-9839
(815) 802-0077
(815) 418-3005
Mailing address
380 W NORTH ST, MANHATTAN, IL 60442-9839
(815) 802-0077
(815) 418-3005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28266008A
IN
363LF0000X
Family Nurse Practitioner
Primary
209024267
IL
363LF0000X
Family Nurse Practitioner
71011958A
IN
Other
Enumeration date
11/08/2021
Last updated
02/18/2025
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