Provider Demographics
NPI:1790514586
Name:MATTHEWS, PAULA RIVERS (CRNP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:RIVERS
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 NAVCO RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605-2615
Mailing Address - Country:US
Mailing Address - Phone:251-234-9736
Mailing Address - Fax:
Practice Address - Street 1:2050 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36615-1113
Practice Address - Country:US
Practice Address - Phone:251-434-6770
Practice Address - Fax:888-334-3354
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-100337363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health