Individual
SHARON MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
4620 N BRAESWOOD BLVD APT 161, HOUSTON, TX 77096-2852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252138
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
820571
CA
Other
Enumeration date
05/09/2013
Last updated
06/06/2019
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