Individual provider · Type 1 NPI

Matthew Ross Theriot, NP

Pediatric Nurse Practitioner · Daly City, CA

NPI number 1285433599 Active

Practice location

189 Belcrest Ave
Daly City, CA 94015-4712

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X95030747 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1285433599

Matthew Ross Theriot, NP's National Provider Identifier is 1285433599, issued on Mar 10, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Daly City, CA. The record was last updated on Mar 10, 2025.