Individual provider · Type 1 NPI

Nisha Susan Prince-Mattathil, NURSE PRACTITIONER

Family Nurse Practitioner · Huntington, NY

NPI number 1396362646 Active

Practice location

789 Park Ave
Huntington, NY 11743-3912

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1792786 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1396362646

Nisha Susan Prince-Mattathil, NURSE PRACTITIONER's National Provider Identifier is 1396362646, issued on Jul 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Huntington, NY. The record was last updated on Aug 6, 2022.