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Individual

JANICE L MATHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP, ANP

Contact information

Practice address
2002 MEDICAL PKWY STE 500, ANNAPOLIS, MD 21401-3268
(410) 573-6480
(410) 573-9413
Mailing address
7400 FORESTS EDGE CT, LAUREL, MD 20707-9428
(682) 465-8185
(682) 465-8185

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
436308
TX
363LA2200X
Adult Health Nurse Practitioner
436302
TX

Other

Enumeration date
10/11/2006
Last updated
10/14/2011
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