Individual
ANASTASIA MARIE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4810 EXPO DR, MANITOWOC, WI 54220-9341
(920) 496-4700
Mailing address
505 JACOB DR, DENMARK, WI 54208-9768
(920) 680-3241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13033-33
WI
Other
Enumeration date
07/15/2022
Last updated
09/28/2022
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