Individual
ANN M MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
905 TOWER RD # 3188, BRISTOL, PA 19007-3116
(215) 785-3201
Mailing address
9585 WALLEY AVE, PHILADELPHIA, PA 19115-3009
(267) 752-0038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN634739
PA
363LF0000X
Family Nurse Practitioner
Primary
SP021470
PA
Other
Enumeration date
04/22/2013
Last updated
02/25/2020
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