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Individual

ANGELA L MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNNP

Contact information

Practice address
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC NICU MPLS, MINNEAPOLIS, MN 55404
(612) 813-6295
(612) 813-6949
Mailing address
2910 CENTRE POINTE DRIVE, 35 121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1372876
MN
363LN0000X
Neonatal Nurse Practitioner
R1372876
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
R1372876
MN

Other

Enumeration date
12/22/2006
Last updated
09/11/2025
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