Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MATHEW, DT
ActiveNICOLE MATHEW, DT is a 125J00000X healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1073013322 is currently active in the NPPES registry. Verify at CMS.
125J00000X · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1073013322
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2018 (8.4568173821737 yrs)
- Last Updated
- Feb 13, 2018
- License
-
DT96 (MN)
Practice Information
- Address
-
636 BROADWAY ST NEMINNEAPOLIS, MN, 554132164Browse MN providers · Browse ZIP 55413
- Phone
- 6127461530
- Fax
- 6127461531
- Primary Specialty
-
125J00000X
125J00000X
Other 125J00000X Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| CHRISTY JO FOGARTY | RDH, ADT | 1649550260 |
| MRS. EVA MARIE ROMERO | ADT | 1033495494 |
| JANELLE JEHN | — | 1003230137 |
| JODI BECKER | — | 1164830949 |
| MRS. TERESA BUSHNELL | — | 1114315678 |
| TRINA COURTRIGHT | D.T. | 1124416789 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.