Individual provider · Type 1 NPI

Shawn Matherly, RN

Registered Nurse · Fort Leonard Wood, MO

NPI number 1104132323 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Fax (573) 329-0879

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	154938 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104132323

Shawn Matherly, RN's National Provider Identifier is 1104132323, issued on Aug 25, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Feb 20, 2025.