Individual provider · Type 1 NPI

Lee Ann Matson, NURSE PRACTITIONER

Family Nurse Practitioner · South Bend, IN

NPI number 1861977548 Active

Practice location

4401 W Western Ave Ste C
South Bend, IN 46619-2645

Fax (574) 807-9614

Mailing address

PO Box 746720
Atlanta, GA 30374-6720

Other practice locations

  • 410 S Main St, Goshen, IN 46526-3947 · (574) 533-2510
  • 4401 W Western Ave Ste C, South Bend, IN 46619-2645 · (574) 725-7006

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71011065A (IN)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1861977548

Lee Ann Matson, NURSE PRACTITIONER's National Provider Identifier is 1861977548, issued on Sep 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on May 2, 2025.