Individual provider · Type 1 NPI

Carl Duane Mathew, LPN

Licensed Practical Nurse · Fulton, NY

NPI number 1154646172 Active

Practice location

96 Bakeman St
Fulton, NY 13069-3333

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X289729-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154646172

Carl Duane Mathew, LPN's National Provider Identifier is 1154646172, issued on Apr 1, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fulton, NY. The record was last updated on Apr 1, 2010.