Angela Mathison, NP-C

Nurse Practitioner · Coon Rapids, MN

Individual Active NPI

NPI number 1083969778

Practice location

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568
Phone
(763) 427-9980

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NPI record

NPI
1083969778
Entity type
Individual (Type 1)
Enumeration date
July 18, 2012
Last updated
September 28, 2022
Certified
September 28, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 1781 MN
Adult Health Nurse Practitioner 363LA2200X A0712012 MN
Gerontology Nurse Practitioner 363LG0600X G0712002 MN

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone
(612) 262-9000

About Angela Mathison

Angela Mathison, NP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 4040 Coon Rapids Blvd NW Ste 120, Coon Rapids, MN 55433-4568. The NPI number 1083969778 was assigned on July 18, 2012 and the record was last updated on September 28, 2022.

Angela Mathison lists 3 licenses in the registry: #1781 (MN) for Nurse Practitioner; #A0712012 (MN) for Adult Health Nurse Practitioner; #G0712002 (MN) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Angela Mathison, NP-C?

The NPI number is 1083969778.

What is the phone number of Angela Mathison?

The phone number listed for the practice location is (763) 427-9980.

Where is Angela Mathison located?

4040 Coon Rapids Blvd NW Ste 120, Coon Rapids, MN 55433-4568.

What is the taxonomy code for Angela Mathison?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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