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NPI Profile for AMANDA R MATTHAEI in ANTIOCH, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X |
| NPI Number | 1710825955 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/21/2026 | |
| Last updated | 03/21/2026 - About 3 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA R MATTHAEI
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AMANDA R MATTHAEI, RN