Individual provider · Type 1 NPI

Audrey A. Mathis, NP

Family Nurse Practitioner · Fayetteville, NY

NPI number 1740283829 Active

Practice location

4103 Medical Center Dr
Fayetteville, NY 13066-6600

Fax (315) 637-7808

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X320426 (NY)
Family Nurse Practitioner Primary 363LF0000XF332143 (NY)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1740283829

Audrey A. Mathis, NP's National Provider Identifier is 1740283829, issued on May 23, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NY. The record was last updated on Nov 22, 2011.