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Individual

ELIZABETH L MATHIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0034195
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15070756
CAQH
05
7100719560
KY
Enumeration date
01/29/2015
Last updated
02/25/2025
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