Individual
ANGELA MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(937) 438-2400
Mailing address
797 FARMBROOK DR, BEAVERCREEK, OH 45430-1473
(937) 414-1426
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
022478
OH
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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