Individual
KAREN MATHIAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.,C.P.N.P.
Contact information
Practice address
1701 HIGH ST, SUITE 102, PORTSMOUTH, VA 23704-3103
(757) 393-8585
(757) 673-0927
Mailing address
522 KILBY SHORES DR, SUFFOLK, VA 23434-6411
(757) 934-7672
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024049786
VA
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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