Individual
MATTHEW WILLIAM MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2264206
MA
207V00000X
Obstetrics & Gynecology Physician
RN2264206
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN2264206
MA
367A00000X
Advanced Practice Midwife
Primary
—
MA
Other
Enumeration date
05/06/2019
Last updated
07/28/2021
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