MR. IAN MAXWELL MATTHEWS APRN NPI 1467000240

NPI Information

NPI: 1467000240
Provider Name: MR. IAN MAXWELL MATTHEWS, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA
ZIP 90292
Phone: (925) 282-1778
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MR. Ian Maxwell Matthews, APRN is a psychiatric/mental health nurse practitioner in Marina Del Rey, CA. MR. Ian Maxwell Matthews, APRN NPI is 1467000240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13160 MINDANAO WAY STE 213
MARINA DEL REY, CA
ZIP 90292-358
Phone: (925) 282-1778
Fax: (415) 296-5299

The enumeration date for this NPI number is 8/26/2019 and was last updated on 12/19/2023.

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	163W00000X	Registered Nurse		889538	NEW YORK	No
2	163W00000X	Registered Nurse		RN2383657	MASSACHUSETTS	No
3	163W00000X	Registered Nurse		RN9636729	FLORIDA	No
4	163W00000X	Registered Nurse		95171771	CALIFORNIA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AC006045	MARYLAND	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	405126	NEW YORK	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2383657	MASSACHUSETTS	Yes
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP95014083	CALIFORNIA	No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11027493	FLORIDA	No

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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