National Provider Identifier Database

KATHLEEN J MATTHEWS, ANP – NPI #1407878259
Family


Contact Information

KATHLEEN J MATTHEWS, ANP
491 N KNIK ST
WASILLA, AK99654-7049
Phone: 907-376-9500
Fax: 907-376-9507
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Psychiatric/Mental Health, Adult 364SP0809X

* Indicates primary specialty

NPI Profile & details for KATHLEEN J MATTHEWS

NPI Number 1407878259
Credentials ANP (Adult Nurse Practitioner)
Entity Individual
Enumeration date 07/24/2006
Last updated 07/27/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • AK License #: 407
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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