Most Relevant Information
Provider Data
| NPI Number: | 1003206046 |
| Provider Name: | ELIZABETH L MATHIS CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.0034195 |
Most Important Dates
| Enumeration Date: | 01/29/2015 |
| Last Updated: | 09/28/2023 |
Provider Practice Location
1248 KINNEYS LN
PORTSMOUTH
OH
456622994
Practice Location Phone/Fax
| Phone: | 7403657290 |
| Fax: | 7403567938 |
Provider Mailing Location
1735 27TH ST STE B06
PORTSMOUTH
OH
456622681
Provider Mailing Phone/Fax
| Phone: | 7403568681 |
| Fax: | 7403561256 |