Matzen, Breana Marie

Matzen, Breana Marie is an individual health care provider with primary practice located at 1658 St Vincents Way Suite 130, Middleburg FL 32068-8446. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Matzen, Breana Marie can be contacted via phone (904) 264-1628.

Contact Information

Primary practice address
1658 St Vincents Way Suite 130 Middleburg FL 32068-8446
Phone: (904) 264-1628
Fax: (904) 264-8386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9287898 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9287898 Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9287898 Florida

Profile Details

NPI number 1023388865
LBN Legal business name Matzen, Breana Marie
Credentials CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Mar 29th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023388865 NPPES
Florida Other Y09YP BLUE CROSS BLUE SHIELD
Florida MEDICAID 004589600 BLUE CROSS BLUE SHIELD

Popular Providers