Matthews, Deanna Suzanne

Matthews, Deanna Suzanne is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Matthews, Deanna Suzanne can be contacted via phone (850) 883-8600.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3262782 Florida

Profile Details

NPI number 1609853670
LBN Legal business name Matthews, Deanna Suzanne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Apr 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609853670 NPPES
Florida MEDICAID 305408000
Florida MEDICAID 891012140

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