Individual provider · Type 1 NPI

Michelle L. Matteson-Kome, FNP/GNP

Gerontology Nurse Practitioner · Columbia, MO

NPI number 1669429387 Active

Practice location

101 S Fairview Rd
Columbia, MO 65203-7637

Call (573) 884-7600 Map

Fax (573) 884-8200

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	132000 (MO)
Gerontology Nurse Practitioner Primary	363LG0600X	132000 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1669429387

Michelle L. Matteson-Kome, FNP/GNP's National Provider Identifier is 1669429387, issued on May 28, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, MO. The record was last updated on Sep 15, 2022.