National Provider Identifier

Meredith Susan Matson, LPN

Meredith Susan Matson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 629-1388.

NPI 1669025995Canandaigua, NYLicensed Practical Nurse

Profile Overview

NPI
1669025995
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 16, 2019
Last Updated
July 16, 2019

Practice Location

  • 125 Grove Dr Apt 15B
  • Canandaigua, NY 14424-1682

Phone: (585) 629-1388

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1669025995
Entity Type
Individual
Last Name
Matson
First Name
Meredith
Middle Name
Susan
Credential
LPN
Mailing Street Address
125 Grove Dr Apt 15B
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1682
Mailing Country
US
Mailing Phone
(585) 629-1388
Practice Street Address
125 Grove Dr Apt 15B
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1682
Practice Country
US
Practice Phone
(585) 629-1388
Enumeration Date
July 16, 2019
Last Updated
July 16, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)