Individual provider · Type 1 NPI
Regine Mathew
Family Nurse Practitioner · Temple, TX
NPI number
1124793807
Active
Practice location
2401 S 31st St
Temple, TX 76508-0001
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other practice locations
- 18000 W 9 Mile Rd Ste 200, Southfield, MI 48075-4009 · (248) 336-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704331072 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 1046494 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124793807
Regine Mathew's National Provider Identifier is 1124793807, issued on Aug 13, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Temple, TX. The record was last updated on Jun 2, 2022.