Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW CHARLES WIDEMAN, DNP, RN, AGNP-C
ActiveDR. MATTHEW CHARLES WIDEMAN, DNP, RN, AGNP-C is a Nurse Practitioner healthcare provider located in IONIA, Michigan. NPI 1871112904 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · IONIA, MI
Registration Details
- NPI Number
- 1871112904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2020 (6.3454295882399 yrs)
- Last Updated
- Apr 9, 2020
- License
-
4704287664NSA2001O (MI)
Practice Information
- Address
-
1727 W BLUEWATER HWYIONIA, MI, 488468647Browse MI providers · Browse ZIP 48846
- Phone
- 6165272510
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in IONIA, MI
| Name | Credential | NPI |
|---|---|---|
| MR. COREY JOHN GRAHN | NP-C | 1336474212 |
| KAYLEY BRUINSMA | NP-C | 1689076317 |
| JOSHUA DAVID SCHAD | NP-C | 1003204199 |
| AIMEE SEAMAN | NP | 1164977831 |
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.