Individual
MELINDA W MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
115 HEART DR, EAST CAROLINA HEART INSTITUTE AT ECU, GREENVILLE, NC 27834-8944
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561638624
COMMERCIAL PAYERS
—
05
—
7004109
—
NC
01
—
B8669
MEDCOST
—
Enumeration date
03/16/2006
Last updated
03/20/2012
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