| Mallory Nichole Matusik, FNP | |
|
519 N Halleck St, Demotte, IN 46310-9553 | |
| (219) 987-7750 | |
| Not Available |
| Full Name | Mallory Nichole Matusik |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 519 N Halleck St, Demotte, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386379501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28229514A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71012811A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Nichole Matusik, FNP 9811 W 145th Ave, Cedar Lake, IN 46303-7258 Ph: (219) 484-7683 | Mallory Nichole Matusik, FNP 519 N Halleck St, Demotte, IN 46310-9553 Ph: (219) 987-7750 |
Samantha Merritt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 3rd Ct Se, Demotte, IN 46310 Phone: 219-763-8112 | |
Mrs. Desiree Elizabeth Samples, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1317 15th St Se, Demotte, IN 46310 Phone: 219-270-3358 Fax: 814-292-9196 | |
Helen Anderson, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 8th Ave Ne, Demotte, IN 46310 Phone: 219-987-3581 | |
Miranda Louise Faris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11188 N 550 E, Demotte, IN 46310 Phone: 219-964-5312 | |
Mrs. Frances Clark, APRN MSN FNP CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11920 W State Rd 10, Demotte, IN 46310 Phone: 219-345-5151 Fax: 219-345-5252 | |
Frances Jean Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 519 N Halleck, Demotte, IN 46310 Phone: 219-987-7750 Fax: 219-987-5750 |