Individual provider · Type 1 NPI
Cody William Matthews, NURSE PRACTITIONER
Nurse Practitioner · Burley, ID
Practice location
1404 Pomerelle Ave Ste B
Burley, ID 83318-2013
Fax (208) 878-9432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 60234 (ID) |
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…
2 other providers at this address
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About NPI 1306517271
Cody William Matthews, NURSE PRACTITIONER's National Provider Identifier is 1306517271, issued on Sep 21, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burley, ID. The record was last updated on Jul 28, 2025.