Individual provider · Type 1 NPI
Matthew A. Privett, FNP
Family Nurse Practitioner · Brockport, NY
NPI number
1285270645
Active
Practice location
281 Root Rd
Brockport, NY 14420-9730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 485518-1 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F346519 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285270645
Matthew A. Privett, FNP's National Provider Identifier is 1285270645, issued on Nov 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brockport, NY. The record was last updated on Sep 21, 2020.