Individual
MAKEBA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(833) 442-2670
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13992091-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13992091-8900
UT
Other
Enumeration date
06/22/2024
Last updated
11/19/2025
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