Individual
MRS. MINI MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
114 SANDHILL DR, MIDDLETOWN FAMILY CARE ASSOCIATE,SUITE101, KETLAY PLAZA, MIDDLETOWN, DE 19709-5805
(302) 378-4779
Mailing address
114 SANDHILL DR, MIDDLETOWN FAMILY CARE ASSOCIATE,SUITE101, KETLAY PLAZA, MIDDLETOWN, DE 19709-5805
(302) 378-4779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG 0000931
DE
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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