Individual
MAURA MI MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
122 DODD ST, WEEHAWKEN, NJ 07086-5616
(917) 627-6307
Mailing address
122 DODD ST, WEEHAWKEN, NJ 07086-5616
(917) 627-6307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F311281-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ14926500
NJ
Other
Enumeration date
06/26/2023
Last updated
07/10/2024
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