Individual provider · Type 1 NPI
Dinumol Mathew
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1922830397
Active
Practice location
5675 N Front St
Philadelphia, PA 19120-2719
Mailing address
1428 Village Greene Blvd
Bensalem, PA 19020-3677
Other practice locations
- 1900 N 9th St, Philadelphia, PA 19122-2024 · (267) 765-2272
- 1428 Village Greene Blvd, Bensalem, PA 19020-3677 · (267) 230-4889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP030286 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1922830397
Dinumol Mathew's National Provider Identifier is 1922830397, issued on Aug 15, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 25, 2024.