Individual provider · Type 1 NPI
Matthew John Sundquist, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1740528322
Active
Practice location
9501 Roosevelt Blvd, Suite 100
Philadelphia, PA 19114
Fax (215) 624-2496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP012680 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1740528322
Matthew John Sundquist, CRNP's National Provider Identifier is 1740528322, issued on Jan 16, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 11, 2025.