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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THOMAS ANTHONE TAYLOR MATROS, LPN

Active

MR. THOMAS ANTHONE TAYLOR MATROS, LPN is a Licensed Practical Nurse healthcare provider located in SOUTH ST PAUL, Minnesota. NPI 1699286443 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SOUTH ST PAUL, MN

Registration Details

NPI Number
1699286443
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2017 (8.8430628659077 yrs)
Last Updated
Oct 19, 2017
License
L730901 (MN)

Practice Information

Address
710 19TH AVE N STE 300
SOUTH ST PAUL, MN, 550751301
Browse MN providers · Browse ZIP 55075
Phone
6514719038
Primary Specialty
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.