Doctor Name: | LINDA SUE MATHENA |
NPI Number: | 1861623480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 28037582A |
Business Practice Address: | 1 Hospital Rd Tell City, IN - 475862750 |
Business Phone Number: | 8125470172 |
Business Fax Number: | 8125470174 |
Mailing Address: | 1 Hospital Rd, TELL CITY |
State: | IN |
Postal Code: | 475862750 |
Phone Number: | 8125470172 |
Fax Number: | 8125470174 |
NPI Enumeration Date: | 07/30/2009 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 28037582A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |