Provider Demographics
NPI:1225637184
Name:MATCHETT, AMY CHAN (DNP-FNP)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:CHAN
Last Name:MATCHETT
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4892 N STONE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5761
Mailing Address - Country:US
Mailing Address - Phone:520-396-1360
Mailing Address - Fax:520-795-9043
Practice Address - Street 1:4892 N STONE AVE STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5761
Practice Address - Country:US
Practice Address - Phone:520-396-1360
Practice Address - Fax:520-795-9043
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN182315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty