Individual
KIERSTIN DAWN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 FLEMING AVE, AMARILLO, TX 79106-1807
(806) 354-8891
Mailing address
7109 MOSLEY ST, AMARILLO, TX 79119-6100
(806) 316-2365
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
859510
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
141602
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2022
Last updated
06/21/2022
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