Individual provider · Type 1 NPI
Liss Mathew
Primary Care Nurse Practitioner · Foothill Ranch, CA
NPI number
1336669548
Active
Practice location
44 Tavella Pl
Foothill Ranch, CA 92610-2204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95006760 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Foothill Ranch
About NPI 1336669548
Liss Mathew's National Provider Identifier is 1336669548, issued on Jun 20, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Foothill Ranch, CA. The record was last updated on Nov 18, 2021.