Individual provider · Type 1 NPI
Liby Mathai
Gerontology Nurse Practitioner · Hackensack, NJ
NPI number
1134836950
Active
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ01335300 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1134836950
Liby Mathai's National Provider Identifier is 1134836950, issued on Nov 1, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Hackensack, NJ. The record was last updated on Nov 1, 2022.