Agnes Mathew, APN
Nurse Practitioner, Gerontology in Linden, NJ. Individual provider (NPI-1).
NPI number1245954635
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1245954635
- Entity type
- Individual (NPI-1)
- Name
- Agnes Mathew
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 26NJ01319700 | NJ | Yes |
Practice location
400 W Stimpson AveLinden, NJ 07036-4434
Phone 908-862-3399
Mailing address
2 Madden CtSpringfield, NJ 07081-3801
Phone 973-900-7262
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