Individual
MAGGIE KAYE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-6456
(217) 876-6485
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-6456
(217) 876-6485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019613
IL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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