Individual
TINA MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 ELM AVENUE, HYANNIS, MA 02601
(508) 778-0300
(508) 778-0301
Mailing address
1135 MORTON STREET, MATTAPAN, MA 02126-2834
(617) 533-2300
(617) 533-2341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN138301
MA
363LF0000X
Family Nurse Practitioner
Primary
RN138301
MA
Other
Enumeration date
11/04/2009
Last updated
01/13/2012
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