Provider Demographics
NPI:1376432468
Name:MATTHEWS, ABBEY
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:
Other - Last Name:OVERHOLSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1000 TERRA DR
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-9596
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 TERRA DR
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-9596
Practice Address - Country:US
Practice Address - Phone:580-290-1810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0071244164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse