Individual provider · Type 1 NPI

Shimi Manoj Mathew, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Orlando, FL

NPI number 1407175722 Active

Practice location

6718 Lake Nona Blvd
Orlando, FL 32827-7982

Other practice locations

  • 2013 Live Oak Blvd Ste B&c, St. Cloud, FL 34771-8408 · (407) 593-2388

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11029483 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1407175722

Shimi Manoj Mathew, APRN, PMHNP-BC's National Provider Identifier is 1407175722, issued on May 26, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orlando, FL. The record was last updated on Dec 18, 2025.