Provider Demographics
NPI:1639041817
Name:CARVER, MATTHEW S (APRN-NP)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:CARVER
Suffix:
Gender:M
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 NW 49TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-2117
Mailing Address - Country:US
Mailing Address - Phone:402-560-4168
Mailing Address - Fax:
Practice Address - Street 1:7120 S 69TH ST STE 101A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3868
Practice Address - Country:US
Practice Address - Phone:402-520-8955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE116293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine