IAN MAXWELL MATTHEWS

MARINA DEL REY, CA
NPI1467000240
Former NameIAN MAXWELL HERSHKOWITZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MA  RN2383657)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  889538)
163W00000X Registered Nurse
(Licence: MA  RN2383657)
163W00000X Registered Nurse
(Licence: FL  RN9636729)
163W00000X Registered Nurse
(Licence: CA  95171771)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  AC006045)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  405126)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  NP95014083)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11027493)
Enumeration Date2019-08-26
Last Update Date2023-12-19
Business Address
Mr. IAN MAXWELL MATTHEWS APRN
13160 MINDANAO WAY STE 213
MARINA DEL REY, CA 90292-6358
Phone number: 925-282-1778
Mailing Address
Mr. IAN MAXWELL MATTHEWS APRN
382 NE 191ST ST, PMB 848652
MIAMI, FL 33179
Phone number: 706-421-3400