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Bryan P Mathieson, NP
Nurse Practitioner in Fort Wayne, Indiana
NPI 1205022555

Bryan P Mathieson is a Nurse Practitioner based in Fort Wayne, IN. Bryan P Mathieson practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Bryan P Mathieson is 1205022555 and holds a License No. 8890 (Indiana).

The current practice location address for Bryan P Mathieson is 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN and can be reached out via phone at 260-266-8900 and via fax at 260-266-8935.

Location: 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205022555
Provider Name
Bryan P Mathieson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN, 46845-1701
Phone Number
260-266-8900
Fax Number
260-266-8935
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3124112 05 OH
200889510 05 IN
000000584893 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
11141 Parkview Plaza Dr Ste 305
City
Fort Wayne
State
Indiana
Zip
46845-1715
Phone Number
260-266-8900
Fax Number
260-266-8935
person
Provider Business Mailing Address Details
Address
11141 Parkview Plaza Dr Ste 305
City
Fort Wayne
State
Indiana
Zip
46845-1715
Phone Number
260-266-8900
Fax Number
260-266-8935
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
8890 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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