Victoria Mathis, APRN
Nurse Practitioner, Gerontology in Kapaa, HI. Individual provider (NPI-1).
NPI number1386964005
StatusActive
Last updated in NPPESJun 3, 2010
Details
- NPI
- 1386964005
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Victoria Mathis
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2010
- Last updated
- Jun 3, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | APRN 933 | HI | Yes |
Practice location
1564b Wanaao RdKapaa, HI 96746-2633
Phone 808-822-3829
Mailing address
1564b Wanaao RdKapaa, HI 96746-2633
Phone 808-822-3829
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