Individual
SHERIL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 RENAISSANCE BLVD, EDMOND, OK 73013-3086
(405) 844-4978
(405) 844-0562
Mailing address
1701 RENAISSANCE BLVD, EDMOND, OK 73013-3086
(405) 844-4978
(405) 844-0562
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R0116015
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0116015
MEDICAL LICENSE
OK
Enumeration date
10/05/2015
Last updated
03/24/2016
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