Individual provider · Type 1 NPI
Bony Mathew, FNP-BC
Nurse Practitioner · Palm Springs, CA
Practice location
558 S Paseo Dorotea Ste 6
Palm Springs, CA 92264-1429
Mailing address
620 S Thornhill Rd Apt 1
Palm Springs, CA 92264-2725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209.023999 (IL) |
| Nurse Practitioner Primary | 363L00000X | 95022391 (CA) |
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 1174282099
Bony Mathew, FNP-BC's National Provider Identifier is 1174282099, issued on Dec 8, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palm Springs, CA. The record was last updated on Aug 31, 2023.