IndividualActive
Matthew Rich, MSN, RN, AGCNS-BC
NPI 1639692965 · Gerontology Clinical Nurse Specialist · Tyler, TX
Provider details
- NPI number
- 1639692965
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, RN, AGCNS-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AP134553 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
2323 W Front St
Tyler, TX 75702-7747
Phone: (903) 597-1351
Fax: (903) 597-1351
Approximate (ZIP-level) locationGet directions
Mailing address
4010 Cloverdale Dr
Tyler, TX 75701-9314
Additional practice locations (2)
- 4131 Spicewood Springs Rd Ste J1Austin, TX 78759-8600Phone: (713) 686-9194
- 4010 Cloverdale DrTyler, TX 75701-9314Phone: (480) 242-7129
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.