Individual provider · Type 1 NPI
Mallory Nichole Matusik, FNP
Family Nurse Practitioner · Demotte, IN
NPI number
1386379501
Active
Practice location
519 N Halleck St
Demotte, IN 46310-9553
Mailing address
9811 W 145th Ave
Cedar Lake, IN 46303-7258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28229514A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71012811A (IN) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Leestma Medical Clinic, IncFamily Medicine Physician Demotte, IN NPI 1487986451
- Adam Leestma, FNPFamily Nurse Practitioner Demotte, IN NPI 1891230140
- Alicia Coppage, MSN, FNP-CFamily Medicine Physician Demotte, IN NPI 1912866989
- Micah James Leestma, DOFamily Medicine Physician Demotte, IN NPI 1013201623
Other family nurse practitioner providers in Demotte
- Zachary Lawrence Jesko, FNP-CFamily Nurse Practitioner Demotte, IN NPI 1063963619
- Alexis BorgmanFamily Nurse Practitioner Demotte, IN NPI 1174125520
- Helen Anderson, FNPCFamily Nurse Practitioner Demotte, IN NPI 1619391364
- Miranda Louise Faris, NURSE PRACTITIONERFamily Nurse Practitioner Demotte, IN NPI 1659903144
- Frances Clark, APRN MSN FNP CSFamily Nurse Practitioner Demotte, IN NPI 1689602468
- Frances Jean Smith, FNPFamily Nurse Practitioner Demotte, IN NPI 1720113160
- Keri J. Smith, FNPFamily Nurse Practitioner Demotte, IN NPI 1720533201
- Adam Leestma, FNPFamily Nurse Practitioner Demotte, IN NPI 1891230140
About NPI 1386379501
Mallory Nichole Matusik, FNP's National Provider Identifier is 1386379501, issued on Jul 21, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Demotte, IN. The record was last updated on Jul 23, 2022.