Individual
ANGERENE MITCHELL-MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
Mailing address
626 AUTUMN OAKS LOOP, WINTER GARDEN, FL 34787-2011
(126) 720-6064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58573
NM
363LF0000X
Family Nurse Practitioner
11000742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46102329
—
NM
Enumeration date
12/28/2018
Last updated
06/25/2020
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