Individual
MATTHEW BONNER MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
(315) 261-6410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
431441
NY
363LA2100X
Acute Care Nurse Practitioner
011504
CT
363LA2100X
Acute Care Nurse Practitioner
1-106178
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
431441
NY
363LA2100X
Acute Care Nurse Practitioner
AP61314864
WA
Other
Enumeration date
09/02/2013
Last updated
01/14/2026
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