Active NPIIndividual provider

Matthew Witkovic, APRN

Nurse Practitioner, Family in Minnetonka, Minnesota

NPI Number1932553898
Practice location
9900 Bren RD E, Minnetonka, MN 55343-9664
Fax
—
Last updated
February 2, 2021

Matthew Witkovic is a Nurse Practitioner, Family based in Minnetonka, MN. Matthew Witkovic practices in Minnetonka, MN and has the professional credentials of APRN. The NPI Number for Matthew Witkovic is 1932553898 and holds a License No. 6761 (CT). The current practice location address for Matthew Witkovic is 9900 Bren RD E, Minnetonka, MN 55343-9664 and can be reached out via phone at 860-833-3513.

Provider Profile Details

NPI Number
1932553898
Provider Name
Matthew Witkovic
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
9900 Bren RD E, Minnetonka, MN 55343-9664
Phone Number
860-833-3513
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 18, 2016
Last Update Date
February 2, 2021
Certification Date
February 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9900 Bren RD E
Minnetonka, MN 55343-9664
Zip
55343-9664
Phone Number
860-833-3513
Minnetonka, MN 55343Get directions →

Provider Business Mailing Address Details

Address
10 Kaya Ln
Mansfield Ctr, CT 06250-1332
City
Mansfield Ctr
State
CT
Zip
06250-1332
Phone Number
860-833-3513

License Information

License Number
6761
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew Witkovic, APRN?

The NPI number of Matthew Witkovic, APRN is 1932553898. It was assigned on April 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Matthew Witkovic, APRN?

Matthew Witkovic, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 6761.

Where does Matthew Witkovic, APRN practice?

The practice location is 9900 Bren RD E, Minnetonka, MN 55343-9664. The office can be reached at 860-833-3513 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932553898 directly on the NPPES registry website.

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