IndividualActive
Angela Mathes, NP
NPI 1508330788 · Gerontology Nurse Practitioner · Centerville, OH
Provider details
- NPI number
- 1508330788
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 022478 (OH)
Practice location
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone: (937) 438-2400
Mailing address
797 Farmbrook Dr
Beavercreek, OH 45430-1473
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2019-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.