Individual
VICTORIA PRINCESS MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
176 W MOUND RD, DECATUR, IL 62526-1964
(217) 875-0163
Mailing address
12040 RAYMOND CT, HUNTLEY, IL 60142-8069
(847) 515-1505
(847) 515-1503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.381119
IL
363L00000X
Nurse Practitioner
Primary
209017759
IL
363LF0000X
Family Nurse Practitioner
209.017759
IL
Other
Enumeration date
11/14/2018
Last updated
09/17/2025
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