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Individual

SHANA MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-4399
(215) 590-1000
Mailing address
700 MONTCLAIR RD NE, PALM BAY, FL 32905-5011
(321) 795-3763

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9282626
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP3822626
FL

Other

Enumeration date
11/13/2013
Last updated
11/16/2017
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