Individual
NICOLE MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3193
Mailing address
227 WALNUT TRACE CT, SIMPSONVILLE, SC 29681-4763
(864) 363-8280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71297
SC
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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