Lisa Jo Matherson in Glenmoore - Gerontology

Lisa Jo Matherson - NPI 1922213594

Lisa Jo Matherson is a Gerontology in Glenmoore, Pennsylvania. Lisa Jo Matherson practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Lisa Jo Matherson is 1922213594. The last update date is 2007-07-08.

Lisa Jo Matherson's current location address is 271 Green Hollow Rd, Glenmoore, Pennsylvania. You can contact this provider via phone number 6109138008 and fax number 6109138007. The mailing address for Lisa Jo Matherson is 271 Green Hollow Rd, Glenmoore, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Jo Matherson
Address 271 Green Hollow Rd, Glenmoore, Pennsylvania
Phone Number 6109138008
Fax Number 6109138007
Sole Proprietor Y
Credentials CRNP

NPI Number Detail

NPI Number 1922213594
Provider Enumeration Date 2007-05-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 271 Green Hollow Rd
City Glenmoore
State Pennsylvania (PA)
Post Code 193431509
Phone Number 6109138008
Fax Number 6109138007

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No SPOO3533H
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

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FAQs about Lisa Jo Matherson

What is the unique provider identifier assigned to Lisa Jo Matherson?

The Lisa Jo Matherson has been issued the NPI (National Provider Identifier) 1922213594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Lisa Jo Matherson is located?

The Lisa Jo Matherson is situated at the following address: 271 Green Hollow Rd, Glenmoore, PA, 193431509.

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

The Lisa Jo Matherson's specialized field of practice is Gerontology, and the corresponding taxonomy code that categorizes this area of specialization is 363Lg0600X.

When was the Lisa Jo Matherson's 1922213594 issued?

The Lisa Jo Matherson's 1922213594 was issued on 2007-05-14.

As of what date was the information regarding Lisa Jo Matherson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa Jo Matherson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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