IndividualActive
Annie Mathew
NPI 1346544061 · Nurse Practitioner · Las Vegas, NV
Provider details
- NPI number
- 1346544061
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APN001223 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4218 W Charleston Blvd
Las Vegas, NV 89102-1625
Phone: (702) 885-7185
Approximate (ZIP-level) locationGet directions
Mailing address
4218 W Charleston Blvd
Las Vegas, NV 89102-1625
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2016-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.