IndividualActive
Minimol Mathew
NPI 1679289045 · Ambulatory Care Registered Nurse · Ann Arbor, MI
Provider details
- NPI number
- 1679289045
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704251377 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone: (734) 769-7100
Approximate (ZIP-level) locationGet directions
Mailing address
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Registry dates
- Enumerated
- 2023-01-27
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.