Individual
ANNU MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W MAIN ST, LANSDALE, PA 19446-2011
(610) 940-2011
(610) 940-2605
Mailing address
615 W MAIN ST, LANSDALE, PA 19446-2011
(610) 940-2011
(610) 940-2605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027096
PA
Other
Enumeration date
02/20/2023
Last updated
06/20/2023
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