Individual provider · Type 1 NPI
Fairest Stevenson-Matthews, DNP, MSN, RN
Cardiac Rehabilitation Registered Nurse · Pearl, MS
NPI number
1548857402
Active
Practice location
509 Asbury Lane Dr
Pearl, MS 39208-9314
Mailing address
PO Box 54554
Pearl, MS 39288-4554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 855363 (MS) |
| General Practice Registered Nurse | 163WG0000X | 855363 (MS) |
| Home Health Registered Nurse | 163WH0200X | 855363 (MS) |
| Cardiac Rehabilitation Registered Nurse Primary | 163WC3500X | 855363 (MS) |
Cardiac Rehabilitation Registered Nurse: Definition to come...
About NPI 1548857402
Fairest Stevenson-Matthews, DNP, MSN, RN's National Provider Identifier is 1548857402, issued on Dec 27, 2020. The primary taxonomy on file is Cardiac Rehabilitation Registered Nurse (163WC3500X), and the practice location is in Pearl, MS. The record was last updated on Dec 27, 2020.