Individual
MRS. BETSY A MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12716 NE 36TH ST, SPENCER, OK 73084-9167
(405) 769-3301
Mailing address
2005 ALLIYAH CT, YUKON, OK 73099-7724
(405) 210-1548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113774
OK
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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