Individual
MRS. CAROL A MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
909 E REPUBLIC RD STE D200, SPRINGFIELD, MO 65807-6012
(417) 883-7889
(417) 890-6151
Mailing address
909 E REPUBLIC RD STE D200, SPRINGFIELD, MO 65807-6012
(417) 883-7889
(417) 890-6151
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
058827
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427725924
—
MO
Enumeration date
02/06/2006
Last updated
04/11/2022
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