NPI 1043862774

Matthew Lee Shryock, FNP

Practitioner Acute Care Nurse Practitioner Missoula, MT

Practice location

Address: 500 W Broadway St STE 320, Missoula, MT 59802-4003
Phone: (063) 295-6154
Fax: (406) 329-5606
Mailing address: PO Box 12, Liberty Lake, WA 99019-0012

Registered specialties (2)

Acute Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence NUR-APRN-LIC-206610 (MT)

Other Nurse Practitioner providers in Montana →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 147811 (AK)

Registry record

NPI: 1043862774
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2019
Record last updated: 22 Aug 2023

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.