Individual
MATTHEW TYLER MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
93 CAMPUS AVE, LEWISTON, ME 04240-6030
(207) 777-8100
Mailing address
15059 N SCOTTSDALE RD STE 600, SCOTTSDALE, AZ 85254-2685
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-142806
AL
363LA2100X
Acute Care Nurse Practitioner
CNP251171
ME
363LF0000X
Family Nurse Practitioner
Primary
1-142806
AL
363LF0000X
Family Nurse Practitioner
CNP251171
ME
Other
Enumeration date
07/10/2023
Last updated
04/16/2026
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