Individual
ELIZABETH RACHEL MATHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1385 W MAIN AVE, DE PERE, WI 54115
(920) 433-9400
Mailing address
852 LONE OAK RD, DE PERE, WI 54115-3361
(920) 639-9696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17111-33
WI
Other
Enumeration date
07/23/2025
Last updated
08/03/2025
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