Individual
MATTHEW JOSEPH MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 603-4163
Mailing address
22 PLATINUM, SANTA FE, NM 87508-1516
(505) 603-4163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-75937
NM
163W00000X
Registered Nurse
RN75937
NM
363L00000X
Nurse Practitioner
Primary
84589
NM
Other
Enumeration date
02/03/2023
Last updated
06/23/2025
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