Provider Demographics
NPI:1710002431
Name:MATNEY, ERIKA C (ANP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:C
Last Name:MATNEY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 FEDERAL ST STE B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-2461
Mailing Address - Country:US
Mailing Address - Phone:434-200-6516
Mailing Address - Fax:
Practice Address - Street 1:407 FEDERAL ST STE B407
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504-2459
Practice Address - Country:US
Practice Address - Phone:434-200-6516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172190363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP41816Medicare UPIN
NCP41816Medicare UPIN