Individual provider · Type 1 NPI
Anu Xandy Alexander Mathew, CPNP
Pediatric Nurse Practitioner · Plano, TX
NPI number
1598577959
Active
Practice location
3900 W 15th St Ste 107
Plano, TX 75075-7789
Mailing address
2812 Gooseberry Dr
Plano, TX 75074-2044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 779589 (TX) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP143843 (TX) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1598577959
Anu Xandy Alexander Mathew, CPNP's National Provider Identifier is 1598577959, issued on Jan 23, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Plano, TX. The record was last updated on Jan 23, 2025.