Provider Demographics
NPI:1255529269
Name:MATTHEWS, AMBER NICOLE (MSN, APN, FNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NICOLE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MSN, APN, FNP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:NICOLE
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APN, FNP
Mailing Address - Street 1:4301 W MARKHAM ST # 547-07
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-554-0420
Mailing Address - Fax:501-280-3124
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-554-0420
Practice Address - Fax:501-554-0420
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily