Individual
LEENA MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9217 BURBANK RD, PHILADELPHIA, PA 19115-3415
(267) 342-0440
Mailing address
9217 BURBANK RD, PHILADELPHIA, PA 19115-3415
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP03983
PA
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
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