Individual provider · Type 1 NPI

Matthew Lee Shryock, FNP

Acute Care Nurse Practitioner · Missoula, MT

NPI number 1043862774 Active

Practice location

500 W Broadway St Ste 320
Missoula, MT 59802-4003

Fax (406) 329-5606

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X147811 (AK)
Acute Care Nurse Practitioner Primary 363LA2100XNUR-APRN-LIC-206610 (MT)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1043862774

Matthew Lee Shryock, FNP's National Provider Identifier is 1043862774, issued on Jul 12, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Missoula, MT. The record was last updated on Aug 22, 2023.