Individual
ANNALIA ROSE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 N ENOLA RD, ENOLA, PA 17025-2123
(717) 732-4911
(717) 409-8948
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004864
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036799950001
—
PA
01
—
838902
MEDICARE
PA
Enumeration date
06/17/2019
Last updated
08/08/2023
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