Individual provider · Type 1 NPI
Stephanie Marie Mathis
Family Nurse Practitioner · Austin, TX
NPI number
1831748284
Active
Practice location
2901 Via Fortuna Ste 510
Austin, TX 78746-7745
Mailing address
1509 Dulles Dr
Lafayette, LA 70506-3718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 749592 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP143186 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831748284
Stephanie Marie Mathis's National Provider Identifier is 1831748284, issued on Sep 9, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austin, TX. The record was last updated on Jun 16, 2020.