Individual provider · Type 1 NPI
Smitha Mathew
Family Nurse Practitioner · Temple, TX
NPI number
1922769868
Active
Practice location
2401 S 31st St
Temple, TX 76508-1763
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 739363 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 1058162 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922769868
Smitha Mathew's National Provider Identifier is 1922769868, issued on Jan 3, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Temple, TX. The record was last updated on May 28, 2024.