Individual
VANESSA LINAE MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1415 6TH AVE, HUNTINGTON, WV 25701-2420
(304) 523-1142
Mailing address
1415 6TH AVE, HUNTINGTON, WV 25701-2420
(304) 523-1142
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN74460
WV
363LF0000X
Family Nurse Practitioner
3006739
KY
363LF0000X
Family Nurse Practitioner
APRN74460
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN74460
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346547023
—
WV
05
—
7100230910
—
KY
Enumeration date
02/16/2011
Last updated
03/16/2026
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