Individual
ROHAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, APRN, NP
Contact information
Practice address
5500 EXECUTIVE CENTER DR STE 235, CHARLOTTE, NC 28212-8821
(704) 936-0200
Mailing address
5500 EXECUTIVE CENTER DR STE 235, CHARLOTTE, NC 28212-8821
(704) 936-0200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205276
RN LICENSE
NC
Enumeration date
12/06/2022
Last updated
07/21/2024
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