Individual
SUSAN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 OLANDWOOD CT STE 105, OLNEY, MD 20832-1488
(301) 910-4617
Mailing address
6428 ROSALIE LN, RIVERDALE, MD 20737-1783
(301) 910-4617
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R183817
MD
Other
Enumeration date
02/22/2022
Last updated
05/25/2023
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