Provider Demographics
NPI:1346607306
Name:CLINGMAN, MATTHEW AARON (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:AARON
Last Name:CLINGMAN
Suffix:
Gender:M
Credentials:MSN, RN, FNP-BC
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Mailing Address - Street 1:2200 JEFFERSON AVE
Mailing Address - Street 2:5TH FL
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-7101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 NEAL ZICK RD
Practice Address - Street 2:
Practice Address - City:WILLARD
Practice Address - State:OH
Practice Address - Zip Code:44890-9287
Practice Address - Country:US
Practice Address - Phone:419-993-2811
Practice Address - Fax:419-933-4502
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH18622-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0162568Medicaid