Doctor Name: | KIMBERLY NOELLE MATTHEWS |
NPI Number: | 1003065731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN148719 |
Business Practice Address: | 820 W Esplanade Ave Kenner, LA - 700652757 |
Business Phone Number: | 5044678313 |
Business Fax Number: | |
Mailing Address: | 801 Race Street, Apt 7411 KENNER |
State: | LA |
Postal Code: | 700652757 |
Phone Number: | 8034438185 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2008 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN148719 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |