Individual
NEETHU MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
845 PADDOCK AVE, MERIDEN, CT 06450-7021
(203) 238-2645
Mailing address
114 BOYLSTON ST, NEWINGTON, CT 06111-4360
(860) 992-2924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
104565
CT
363LF0000X
Family Nurse Practitioner
Primary
12.008572
CT
Other
Enumeration date
10/28/2019
Last updated
10/31/2019
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