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Loghan Matyi, Registered Nurse

Registered Nurse in Marion, IL. Individual provider (NPI-1).

NPI number1003672486
StatusActive
Last updated in NPPESFeb 23, 2024

Details

NPI
1003672486
Entity type
Individual (NPI-1)
Name
Loghan Matyi
Credential
Registered Nurse
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2024
Certification date
Feb 23, 2024
Last updated
Feb 23, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse041454781ILYes

Practice location

2401 W Main St
Marion, IL 62959-1188

Phone 618-997-5311

Mailing address

2401 W Main St
Marion, IL 62959-1188

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse providers in Marion, IL

All 106 Registered Nurse providers in Marion · All 1,484 providers in Marion

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