Active NPIIndividual providerSole proprietor

Mrs. Amanda H Matteson, PA-C

Physician Assistant, Medical in Providence, Rhode Island

NPI Number1952470007
Practice location
1056 Hope St, Providence, RI 02906-5026
Fax
401-751-4744
Last updated
June 22, 2023

Amanda Hovey Matteson is a Physician Assistant, Medical based in Providence, RI. Amanda Hovey Matteson practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Amanda Hovey Matteson is 1952470007 and holds a License No. PA00426 (RI). The current practice location address for Amanda Hovey Matteson is 1056 Hope St, Providence, RI 02906-5026 and can be reached out via phone at 401-751-1235 and via fax at 401-751-4744.

Provider Profile Details

NPI Number
1952470007
Provider Name
Amanda Hovey Matteson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1056 Hope St, Providence, RI 02906-5026
Phone Number
401-751-1235
Fax Number
401-751-4744
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2006
Last Update Date
June 22, 2023
Certification Date
June 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1056 Hope St
Providence, RI 02906-5026
Zip
02906-5026
Phone Number
401-751-1235
Fax Number
401-751-4744
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
250 Woodbine St
Cranston, RI 02910-2940
City
Cranston
State
RI
Zip
02910-2940

License Information

License Number (1)
PA00426
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA-00426
License State (2)
RI
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Mrs. Amanda H Matteson, PA-C?

The NPI number of Mrs. Amanda H Matteson, PA-C is 1952470007. It was assigned on November 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amanda H Matteson, PA-C?

Mrs. Amanda H Matteson, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00426.

Where does Mrs. Amanda H Matteson, PA-C practice?

The practice location is 1056 Hope St, Providence, RI 02906-5026. The office can be reached at 401-751-1235 (phone) or 401-751-4744 (fax).

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 1952470007 directly on the NPPES registry website.

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