Individual provider · Type 1 NPI

Matthew Tyler Khosropour

Family Nurse Practitioner · New Iberia, LA

NPI number 1790287746 Active

Practice location

1110 E Saint Peter St
New Iberia, LA 70560-3932

Fax (337) 364-7090

Mailing address

1012 Petroleum Pkwy
Broussard, LA 70518-8020

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP09821 (LA)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1790287746

Matthew Tyler Khosropour's National Provider Identifier is 1790287746, issued on Mar 6, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Iberia, LA. The record was last updated on Mar 6, 2018.