Individual
MELISSA A MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2705 ENTERPRISE DR # 5, ANDERSON, IN 46013-9670
(765) 393-1965
Mailing address
2705 ENTERPRISE DR # 5, ANDERSON, IN 46013-9670
(765) 393-1965
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71003474A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720157
ANTHEM
IN
05
—
201010190
—
IN
Enumeration date
12/17/2010
Last updated
07/13/2023
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