Individual provider · Type 1 NPI

Matthew Certonio, NP

Nurse Practitioner · St. George, UT

NPI number 1093657918 Active

Practice location

1380 E Medical Center Dr
St. George, UT 84790-2123

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10836619-4405 (UT)
Family Medicine Physician 207Q00000X10836619-4405 (UT)

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 1093657918

Matthew Certonio, NP's National Provider Identifier is 1093657918, issued on Apr 8, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. George, UT. The record was last updated on May 14, 2026.