Individual
MATTHEW VERN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
436 AIRPORT RD STE 20, ARDEN, NC 28704-8403
(407) 200-2352
Mailing address
2837 RIVER RIDGE DR, ORLANDO, FL 32825-8744
(706) 331-6406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5015734
NC
363LF0000X
Family Nurse Practitioner
11006161
FL
363LF0000X
Family Nurse Practitioner
Primary
5015734
NC
Other
Enumeration date
03/19/2020
Last updated
02/20/2023
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