Individual
MRS. NNEKA O MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
005225
CT
363LP2300X
Primary Care Nurse Practitioner
005225
CT
Other
Enumeration date
01/28/2013
Last updated
11/29/2023
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