Individual provider · Type 1 NPI

Angela Mathison, NP-C

Nurse Practitioner · Coon Rapids, MN

NPI number 1083969778 Active

Practice location

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XA0712012 (MN)
Gerontology Nurse Practitioner 363LG0600XG0712002 (MN)
Nurse Practitioner Primary 363L00000X1781 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083969778

Angela Mathison, NP-C's National Provider Identifier is 1083969778, issued on Jul 18, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 28, 2022.