Individual
ELIZABETH L MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1611 27TH ST STE F301, PORTSMOUTH, OH 45662-6931
(740) 356-7546
(740) 356-8077
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 356-1256
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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