Doctor Name: | COURTNEY ANNE MATSON |
NPI Number: | 1093950909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM |
License Number: | 619070 |
Business Practice Address: | 333 Laws Ave Ukiah, CA - 954826540 |
Business Phone Number: | 7074681010 |
Business Fax Number: | |
Mailing Address: | 333 Laws Ave, UKIAH |
State: | CA |
Postal Code: | 954826540 |
Phone Number: | 7074681010 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2008 |
NPI Last Update Date: | 12/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0102X |
License Number: | 619070 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Maternal Newborn |
Taxonomy Definition: |