Individual provider · Type 1 NPI
Tia Van Matre, LPN
Licensed Practical Nurse · Gibbon, NE
NPI number
1366242778
Active
Practice location
14505 Gibbon Rd
Gibbon, NE 68840-6105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 8813 (NE) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1366242778
Tia Van Matre, LPN's National Provider Identifier is 1366242778, issued on Mar 14, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gibbon, NE. The record was last updated on Mar 14, 2025.