Individual
NANCY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3300 NW EXPRESSWAY # 100-3475, OKLAHOMA CITY, OK 73112-4418
(405) 951-2541
Mailing address
3300 NW EXPRESSWAY # 100-3475, OKLAHOMA CITY, OK 73112-4418
(405) 951-2541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00122700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1056087
NCCPA
NJ
Enumeration date
07/26/2006
Last updated
07/18/2008
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