Individual provider · Type 1 NPI
Thomas Anthone Taylor Matros, LPN
Licensed Practical Nurse · South St. Paul, MN
NPI number
1699286443
Active
Practice location
710 19th Ave N Ste 300
South St. Paul, MN 55075-1301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L730901 (MN) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1699286443
Thomas Anthone Taylor Matros, LPN's National Provider Identifier is 1699286443, issued on Oct 19, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in South St. Paul, MN. The record was last updated on Sep 29, 2026.