Individual provider · Type 1 NPI

Matthew Bonner McLain, ACNP-BC

Acute Care Nurse Practitioner · Potsdam, NY

NPI number 1063846525 Active

Practice location

50 Leroy St
Potsdam, NY 13676-1786

Other practice locations

  • 134 N 4th St, Brooklyn, NY 11249-3296 · (215) 585-2144
  • 888 Swift Blvd, Richland, WA 99352-3514 · (509) 946-4611

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X1-106178 (AL)
Acute Care Nurse Practitioner 363LA2100X011504 (CT)
Nurse Practitioner 363L00000X431441 (NY)
Acute Care Nurse Practitioner 363LA2100XAP61314864 (WA)
Acute Care Nurse Practitioner Primary 363LA2100X431441 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1063846525

Matthew Bonner McLain, ACNP-BC's National Provider Identifier is 1063846525, issued on Sep 2, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Potsdam, NY. The record was last updated on Jan 14, 2026.