Individual
MRS. SUE ANN MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP CRNP
Contact information
Practice address
2663 CLEVELAND AVE NW, CANTON, OH 44709
(330) 456-5329
(330) 456-9679
Mailing address
1700 CADBURY AVE NW, MASSILLON, OH 44646
(330) 837-5319
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-01639
OH
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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