Individual
DANA SUE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 FRONT ST, TANANA, AK 99777
(907) 656-1366
Mailing address
1124 W RIVERSIDE AVE STE 400, SPOKANE, WA 99201-1109
(907) 656-1366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5959090-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
NURU1318
AK
Other
Enumeration date
11/15/2007
Last updated
06/10/2021
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