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Individual
SYLVIA MATHERLY
Active
Individual
SYLVIA MATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN114765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635914
—
AZ
Enumeration date
12/06/2006
Last updated
09/23/2008
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