Individual provider · Type 1 NPI

Susan Mathew

Adult Health Clinical Nurse Specialist · Polacca, AZ

NPI number 1275957052 Active

Practice location

Hwy 264, Mpp 388
Polacca, AZ 86042-4000

Call (928) 737-6269 Map

Mailing address

PO Box 4000
Polacca, AZ 86042-4000

Specialties and licenses

Taxonomy	Code	License
Adult Health Clinical Nurse Specialist Primary	364SA2200X	200270015CNS (OR)

Adult Health Clinical Nurse Specialist: Definition to come...

2 other providers at this address

Diane Renee Weidley, RDHDental Hygienist Polacca, AZ NPI 1891924403
Theresa K. Barrick, RNRegistered Nurse Polacca, AZ NPI 1578020301

About NPI 1275957052

Susan Mathew's National Provider Identifier is 1275957052, issued on Feb 13, 2014. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Polacca, AZ. The record was last updated on Feb 13, 2014.