Sharlyn Matthews, LPN

Individual provider Active NPI Licensed Practical Nurse · Montrose, MI

NPI 1679017396 · NPPES record last updated Dec 14, 2016

Key facts

NPI
1679017396
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703031247 (MI)
Practice address
204 W. State Street
Montrose, MI 48457-9004
Phone
(810) 639-5411
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703031247MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703031247 MI Yes

Addresses

Primary practice location

204 W. State Street
Montrose, MI 48457-9004

Mailing address

204 W. State Street
PO Box 3038
Montrose, MI 48867
Phone (810) 639-5411

Other providers in Montrose, MI

All providers in Montrose, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.