Mcgraw, Matthew L

Mcgraw, Matthew L is an individual health care provider with primary practice located at 5320 W 23Rd St Ste 130 , St Louis Park MN 55416-1670. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Mcgraw, Matthew L can be contacted via phone (952) 345-8770.

Contact Information

Primary practice address
5320 W 23Rd St Ste 130 St Louis Park MN 55416-1670
Phone: (952) 345-8770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 6159 Minnesota

Profile Details

NPI number 1265797930
LBN Legal business name Mcgraw, Matthew L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Sep 17th, 2023 - about 2 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 1265797930 NPPES
Minnesota Other 6159 CERTIFIED NURSE PRACTITIONER
Minnesota Other APN.0991439-NP CERTIFIED NURSE PRACTITIONER

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