Individual
ANDREA M MATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5514 ARROWHEAD LN, SHEBOYGAN, WI 53081-8704
(920) 254-6553
Mailing address
5514 ARROWHEAD LN, SHEBOYGAN, WI 53081-8704
(920) 254-6553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158737030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35066400
—
WI
Enumeration date
08/27/2008
Last updated
08/27/2008
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