Individual
NEENA T MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 933-7890
Mailing address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 933-7890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9401350
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9401350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9401350
LIC
FL
Enumeration date
06/25/2015
Last updated
07/12/2019
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