National Provider Identifier
Matthew A Privett, FNP
Matthew A Privett, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Brockport, NY and a listed phone number of (585) 395-9158.
Profile Overview
- NPI
- 1285270645
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- November 20, 2019
- Last Updated
- September 21, 2020
Practice Location
- 281 Root RD
- Brockport, NY 14420-9730
Phone: (585) 395-9158
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1285270645
- Entity Type
- Individual
- Last Name
- Privett
- First Name
- Matthew
- Middle Name
- A
- Name Prefix
- Mr.
- Credential
- FNP
- Mailing Street Address
- 281 Root RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-9730
- Mailing Country
- US
- Mailing Phone
- (585) 395-9158
- Practice Street Address
- 281 Root RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-9730
- Practice Country
- US
- Practice Phone
- (585) 395-9158
- Enumeration Date
- November 20, 2019
- Last Updated
- September 21, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- September 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)