Individual
SAMANTHA MATTHEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
20300 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64057-1672
(816) 234-3000
Mailing address
20300 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64057-1672
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2025006570
MO
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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