Individual
ANDREA B MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
325E KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4531
(207) 872-2424
(207) 872-2099
Mailing address
325E KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4531
(207) 872-2424
(207) 872-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP081459
ME
363LF0000X
Family Nurse Practitioner
R021748
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629022132
—
ME
Enumeration date
05/20/2006
Last updated
10/16/2012
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