Individual provider · Type 1 NPI

Minimol Mathew

Ambulatory Care Registered Nurse · Ann Arbor, MI

NPI number 1679289045 Active

Practice location

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X4704251377 (MI)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1679289045

Minimol Mathew's National Provider Identifier is 1679289045, issued on Jan 27, 2023. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Ann Arbor, MI. The record was last updated on Jan 27, 2023.