Individual provider · Type 1 NPI
Lijy Mathew, NP
Psychiatric/Mental Health Nurse Practitioner · Fitchburg, MA
NPI number
1508136946
Active
Practice location
326 Nichols Rd
Fitchburg, MA 01420-1914
Mailing address
59 Stiles Rd Ste 203
Salem, NH 03079-2886
Other practice locations
- 59 Stiles Rd Ste 203, Salem, NH 03079-2886 · (603) 458-6681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN273625 (MA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 067690-23 (NH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN273625 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508136946
Lijy Mathew, NP's National Provider Identifier is 1508136946, issued on Jan 3, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fitchburg, MA. The record was last updated on Mar 1, 2021.