Individual provider · Type 1 NPI

Matthew Allen Hussong, AGNP-C

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1366060691 Active

Practice location

7150 Clearvista Dr
Indianapolis, IN 46256-1695

Mailing address

575 Lexington Ave
New York, NY 10022-6102

Other practice locations

  • 525 E 68th St, New York, NY 10065-4870 · (212) 746-1664

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28213561A (IN)
Gerontology Nurse Practitioner 363LG0600X311191 (NY)
Gerontology Nurse Practitioner Primary 363LG0600X71010218A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1366060691

Matthew Allen Hussong, AGNP-C's National Provider Identifier is 1366060691, issued on Jul 13, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 19, 2024.