Individual
ANU XANDY ALEXANDER MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3900 W 15TH ST STE 107, PLANO, TX 75075-7789
(972) 964-7773
Mailing address
2812 GOOSEBERRY DR, PLANO, TX 75074-2044
(469) 554-3532
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
779589
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP143843
TX
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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