Individual provider · Type 1 NPI
Angela Mathes, NP
Gerontology Nurse Practitioner · Centerville, OH
NPI number
1508330788
Active
Practice location
2400 Miami Valley Dr
Centerville, OH 45459-4774
Mailing address
797 Farmbrook Dr
Beavercreek, OH 45430-1473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 022478 (OH) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1508330788
Angela Mathes, NP's National Provider Identifier is 1508330788, issued on Jan 21, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Centerville, OH. The record was last updated on Jan 21, 2019.