Individual
MATTHEW ESTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
21 TURTLE CREEK DR, ASHEVILLE, NC 28803-3152
(828) 274-4555
(828) 274-8348
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20311
SC
363L00000X
Nurse Practitioner
Primary
5012587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NNA231F380
MEDICARE PTAN
NC
05
—
NP3978
—
SC
Enumeration date
07/06/2016
Last updated
03/31/2021
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