Individual provider · Type 1 NPI

Matthew John Hyde

Nurse Practitioner · St. Louis, MO

NPI number 1568054096 Active

Practice location

1201 S Grand Blvd
St. Louis, MO 63104-1016

Call (314) 257-8000 Map

Mailing address

West Pavilion, Room G120, 3655 Vista Ave
St. Louis, MO 63110-2539

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2020025760 (MO)

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…

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About NPI 1568054096

Matthew John Hyde's National Provider Identifier is 1568054096, issued on Feb 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on May 17, 2021.