Individual
SEAN E MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
1391 PENNSYLVANIA AVE SE UNIT 541, WASHINGTON, DC 20003-3091
(314) 805-3526
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
NP1041339
DC
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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