Provider Demographics
NPI:1750271151
Name:MATTHEWS, SUSIE FLOYD
Entity type:Individual
Prefix:
First Name:SUSIE
Middle Name:FLOYD
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3373 ERSKINE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-3659
Mailing Address - Country:US
Mailing Address - Phone:402-598-0547
Mailing Address - Fax:
Practice Address - Street 1:3373 ERSKINE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3659
Practice Address - Country:US
Practice Address - Phone:402-598-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide