Individual
MAKENZIE HARMAN MATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1024 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3074
(757) 395-2500
Mailing address
1024 FIRST COLONIAL RD STE 102, VIRGINIA BEACH, VA 23454-3074
(757) 395-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24192494
VA
363LF0000X
Family Nurse Practitioner
Primary
0024192494
VA
Other
Enumeration date
02/07/2025
Last updated
04/16/2025
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