Individual provider · Type 1 NPI

Manju Mathew

Family Nurse Practitioner · Modesto, CA

NPI number 1821872235 Active

Practice location

1608 Tully Rd
Modesto, CA 95350-4031

Mailing address

2605 Prosperity Way
Modesto, CA 95355-8646

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95025148 (CA)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1821872235

Manju Mathew's National Provider Identifier is 1821872235, issued on Aug 24, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Modesto, CA. The record was last updated on Aug 24, 2023.