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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY A MATHIS, NP

Active

AUDREY A MATHIS, NP is a Family Nurse Practitioner healthcare provider located in FAYETTEVILLE, New York. NPI 1740283829 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FAYETTEVILLE, NY

Registration Details

NPI Number
1740283829
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2005 (21.045499191461 yrs)
Last Updated
Nov 22, 2011
Licenses
320426 (NY)
F332143 (NY)

Practice Information

Address
4103 MEDICAL CENTER DR
FAYETTEVILLE, NY, 130666600
Browse NY providers · Browse ZIP 13066
Phone
3156377800
Fax
3156377808
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in FAYETTEVILLE, NY

Name Credential NPI
CYNTHIA J TREMBLAY NP 1750387130
SUSAN M RANDALL-MANTELLA RNNP 1457314650
ELLEN E POWERS NP 1992756209
MARY OOT FNP 1023048048
THERESA M. SETTER APRN-BC 1114135209
MARK A PROFETTO FNP 1487852851
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.