Doctor Name: | ANJHARI MATTHEWS |
NPI Number: | 1093107799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP07779 |
Business Practice Address: | 843 Milling Ave Luling, LA - 700704442 |
Business Phone Number: | 5042510446 |
Business Fax Number: | |
Mailing Address: | 843 Milling Ave, LULING |
State: | LA |
Postal Code: | 700704442 |
Phone Number: | 5042510446 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC1500X |
License Number: | AP07779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |