Individual
MR. MATTHEW COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 275-1880
Mailing address
234 STATION RD, GRANTVILLE, PA 17028-9144
(267) 467-9286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN725173
PA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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