Matthews, Mary L
Matthews, Mary L is an sole proprietor health care provider with primary practice located at 1900 Malvern Ave Ste 401 , Hot Springs AR 71901-7779. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matthews, Mary L can be contacted via phone (501) 623-6455.Contact Information
Primary practice address
1900 Malvern Ave Ste 401
Hot Springs AR 71901-7779
Phone: (501) 623-6455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AO1188 ANP | Arkansas |
Profile Details
| NPI number | 1194916973 |
|---|---|
| LBN Legal business name | Matthews, Mary L |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Jul 19th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194916973 | NPPES |
| Arkansas | MEDICAID | 167094758 |
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