| Doctor Name: | MRS. VICTORIA MATHIS |
| NPI Number: | 1386964005 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | APRN 933 |
| Business Practice Address: | 1564b Wanaao Rd Kapaa, HI - 967462633 |
| Business Phone Number: | 8088223829 |
| Business Fax Number: | |
| Mailing Address: | 1564b Wanaao Rd, KAPAA |
| State: | HI |
| Postal Code: | 967462633 |
| Phone Number: | 8088223829 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2010 |
| NPI Last Update Date: | 06/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | APRN 933 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |