Individual
LILLIAN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
382 NE 191ST ST, PMB 904653, MIAMI, FL 33179
(786) 946-8966
(786) 796-6417
Mailing address
382 NE 191ST ST, PMB 904653, MIAMI, FL 33179
(786) 946-8966
(786) 796-6417
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95015516
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11022597
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN9612463
FL
Other
Enumeration date
09/22/2020
Last updated
09/30/2024
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