Individual
MS. DEBORAH JEAN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3535 MARKET STREET SUITE 100, UNIVERSITY OF PENNSYLVANIA STUDENT HEALTH SERVICE, PHILADELPHIA, PA 19104-3376
(215) 746-0828
(215) 746-1032
Mailing address
3535 MARKET STREET SUITE 100, UNIVERSITY OF PENNSYLVANIA STUDENT HEALTH SERVICE, PHILADELPHIA, PA 19104-3376
(215) 746-0828
(215) 746-1032
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP002198C
PA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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