Individual provider · Type 1 NPI
Beena Susan Mathew
Nurse Practitioner · Dallas, TX
Practice location
2001 Inwood Rd
Dallas, TX 75390-7202
Fax (214) 645-2836
Mailing address
PO Box 845347
Dallas, TX 75284-7208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1023526 (TX) |
| Nurse Practitioner Primary | 363L00000X | 1023526 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1003406489
Beena Susan Mathew's National Provider Identifier is 1003406489, issued on Jan 20, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on May 11, 2022.