Individual
MATTHEW URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP - BC
Contact information
Practice address
9655 SCHMIDT LAKE RD STE 150, PLYMOUTH, MN 55442-4507
(763) 559-1640
Mailing address
956 150TH AVE NE, HAM LAKE, MN 55304-6041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
13373
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13373
MN
Other
Enumeration date
09/19/2025
Last updated
01/06/2026
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