Individual provider · Type 1 NPI

Lisa Philip Mathew, NP-C

Nurse Practitioner · Fort Worth, TX

NPI number 1043645476 Active

Practice location

1902 Windsor Pl Ste 102
Fort Worth, TX 76110-1866

Fax (682) 250-5246

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	AP124548 (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 1043645476

Lisa Philip Mathew, NP-C's National Provider Identifier is 1043645476, issued on Sep 4, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 25, 2021.