IndividualActive
Susan Mathew
NPI 1275957052 · Adult Health Clinical Nurse Specialist · Polacca, AZ
Provider details
- NPI number
- 1275957052
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 200270015CNS (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Hwy 264, Mpp 388
Polacca, AZ 86042-4000
Phone: (928) 737-6269
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4000
Polacca, AZ 86042-4000
Registry dates
- Enumerated
- 2014-02-13
- Last updated
- 2014-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.