SANTRESE MARIE MATTHEWS
NPI 1083288369
Nurse Practitioner - Family in Homestead, FL
Active since May 19, 2021
About Santrese Marie Matthews NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTRESE MARIE MATTHEWS (NPI 1083288369) is an individual family provider in Homestead, Florida, licensed in Florida (11010953) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1083288369
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANTRESE MARIE MATTHEWS
Location Address11820 SW 253RD STHomestead, FL 33032-5863
Mailing Address11820 Sw 253rd StHomestead, FL 33032-5863 · (786) 467-1782
Phone(786) 467-1782
Sole ProprietorYes
Enumeration DateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1083288369 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11010953
11820 SW 253RD ST, Homestead, FL 33032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083288369, enumerated as an "individual" on May 19, 2021.
The provider is located at 11820 SW 253RD ST HOMESTEAD, FL 33032 and the phone number is (786) 467-1782.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
