Organization · Type 2 NPI

Matrix Medical Network of Kansas PA

Nurse Practitioner · Overland Park, KS

NPI number 1669770095 Active

Practice location

9393 W 110th St Ste 500
Overland Park, KS 66210-1464

Call (480) 862-1716 Map

Fax (480) 718-7643

Mailing address

9201 E Mountain View Rd, Suite 220
Scottsdale, AZ 85258-5172

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

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…

35 other providers at this address

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NPI record

NPI: 1669770095
Entity type: Organization (Type 2)
Issued: Mar 9, 2011
Last updated: Dec 11, 2019
Status: Active
Subpart: Yes of Community Care Health Network Inc

Other names

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Matrix Medical Network · doing business as
Matrix Medical Network · doing business as

Authorized official

Victoria Alvarez
Director, Credentialing
(480) 862-1695

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669770095

Matrix Medical Network of Kansas PA's National Provider Identifier is 1669770095, issued on Mar 9, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Overland Park, KS. The record was last updated on Dec 11, 2019.