AZSHA RENEE MATTHEWS FNP NPI 1205260718

NPI Information

NPI: 1205260718
Provider Name: AZSHA RENEE MATTHEWS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
13667 EUREKA RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 530-6777
Get Directions

Azsha Renee Matthews, FNP is a family nurse practitioner in Southgate, MI. Azsha Renee Matthews, FNP NPI is 1205260718. 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:

13667 EUREKA RD
SOUTHGATE, MI
ZIP 48195-332
Phone: (734) 530-6777
Fax: (734) 468-1156

The enumeration date for this NPI number is 9/3/2013 and was last updated on 3/7/2023.

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	163W00000X	Registered Nurse		672570-1	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	4704310223	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4704310223	OTHER	MICHIGAN	MICHIGAN NP LICENSE NUMBER
2	672570-1	OTHER	NEW YORK	RN LICENSE NUMBER

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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