Lezlie Mathews in Gulfport - Family

Lezlie Mathews - NPI 1760570550

Lezlie Mathews is a Family in Gulfport, Mississippi. Lezlie Mathews practices all healthcare services and medical treatments related to Family. The NPI Number for Lezlie Mathews is 1760570550. The last update date is 2018-01-18.

Lezlie Mathews's current location address is 1391 Broad Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288638868 and fax number 2283963830. The mailing address for Lezlie Mathews is 1391 Broad Ave, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Lezlie Mathews
Address 1391 Broad Ave, Gulfport, Mississippi
Phone Number 2288638868
Fax Number 2283963830
Sole Proprietor N
Credentials CFNP

NPI Number Detail

NPI Number 1760570550
Provider Enumeration Date 2006-10-10
Last Updated Date 2018-01-18

Provider Mailing Address Detail

Address 1391 Broad Ave
City Gulfport
State Mississippi (MS)
Post Code 395012419
Phone Number 2288638868
Fax Number 2283963830

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R830483
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
153898 MS --

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FAQs about Lezlie Mathews

What is the unique 10-digit identification code issued to Lezlie Mathews by the Centers for Medicare & Medicaid Services?

The Lezlie Mathews has been assigned the NPI (National Provider Identifier) 1760570550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Lezlie Mathews is located?

The Lezlie Mathews is situated at the following address: 1391 Broad Ave, Gulfport, MS, 395012419.

What is Lezlie Mathews's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lezlie Mathews's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

On what date did the Lezlie Mathews receive the assignment of its 1760570550 from the Centers for Medicare & Medicaid Services?

The Lezlie Mathews was issued its 1760570550 by the Centers for Medicare & Medicaid Services on 2006-10-10.

As of what date were the details pertaining to Lezlie Mathews last refreshed?

The information related to the Lezlie Mathews, including its address, specialty, and other relevant details, was last updated on 2018-01-18.

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