Individual provider · Type 1 NPI
Seenamma Mathew, NURSE PRACTITIONER
Acute Care Nurse Practitioner · Cleveland, OH
NPI number
1861991820
Active
Practice location
9500 Euclid Ave # P78-009
Cleveland, OH 44195
Mailing address
225 Cypress Ridge Rd
Tifton, GA 31794-1679
Other practice locations
- 225 Cypress Ridge Rd, Tifton, GA 31794-1679 · (229) 520-9387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 022647 (OH) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN196816 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1861991820
Seenamma Mathew, NURSE PRACTITIONER's National Provider Identifier is 1861991820, issued on Feb 6, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cleveland, OH. The record was last updated on Jun 20, 2018.