ALEC RAYE MATTESON FNP NPI 1063184372

NPI Information

NPI: 1063184372
Provider Name: ALEC RAYE MATTESON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
220 E EVERGREEN ST
SHERMAN, TX
ZIP 75090
Phone: (903) 202-2900
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Alec Raye Matteson, FNP is a family nurse practitioner in Sherman, TX with 3 years of experience. Alec Raye Matteson, FNP NPI is 1063184372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

220 E EVERGREEN ST
SHERMAN, TX
ZIP 75090-056
Phone: (903) 202-2900
Fax: (903) 202-2901

The NPI 1063184372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 1/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		1055515	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	1055515	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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