Whalio Doctors

NPI 1023388865

Breana Marie Matzen, CNMARNP

Practitioner Advanced Practice Midwife Middleburg, FL

Practice location

Address
1658 St Vincents Way Suite 130, Middleburg, FL 32068-8446
Phone
(904) 264-1628
Fax
(904) 264-8386

Registered specialties (3)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence ARNP9287898 (FL)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence ARNP9287898 (FL)
Obstetrics & Gynecology Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LX0001X Licence ARNP9287898 (FL)

Registry record

NPI
1023388865
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jan 2012
Record last updated
29 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.