| Doctor Name: | DIANE E MATTHEWS |
| NPI Number: | 1255529962 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 1010021194 |
| Business Practice Address: | 185 Sherman Dr Suite 2 St Johnsbury, VT - 058199811 |
| Business Phone Number: | 8027485041 |
| Business Fax Number: | 8027485094 |
| Mailing Address: | 165 Sherman Dr, ST JOHNSBURY |
| State: | VT |
| Postal Code: | 058199811 |
| Phone Number: | 8027489405 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 07/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 1010021194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |