Individual
CHARITY A MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1115 HORNERS SAWMILL RD, GERRARDSTOWN, WV 25420-4276
(561) 271-9244
Mailing address
1115 HORNERS SAWMILL RD, GERRARDSTOWN, WV 25420-4276
(561) 271-9244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024183967
VA
363LF0000X
Family Nurse Practitioner
111213
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024183967
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111213
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC007262
MD
Other
Enumeration date
07/12/2018
Last updated
05/05/2025
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