Individual
MRS. CAROL ROSE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNS
Contact information
Practice address
9485 MENTOR AVE, SUITE #3, MENTOR, OH 44060-4597
(440) 205-5755
(440) 205-5792
Mailing address
9485 MENTOR AVE, SUITE #3, MENTOR, OH 44060-4597
(440) 205-5755
(440) 205-5792
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
NS-07582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2511419
—
OH
01
—
NS-07582
STATE BOARD OF NURSING
OH
01
—
RN141455
STATE BOARD OF NURSING
OH
Enumeration date
08/21/2006
Last updated
10/16/2009
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