Individual
SHEILA LYNN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
608 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 322-5947
Mailing address
32480 ZOAR RD, LOCUST GROVE, VA 22508-2608
(703) 868-1842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167746
VA
367A00000X
Advanced Practice Midwife
0024167746
VA
367A00000X
Advanced Practice Midwife
AC000592
MD
367A00000X
Advanced Practice Midwife
RN1014557
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144559790
PRACTICE NPI
VA
01
—
1760620892
NPI
VA
Enumeration date
01/27/2009
Last updated
10/30/2020
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