Matherly, Sylvia
Matherly, Sylvia is an individual health care provider with primary practice located at 15420 N 32Nd Dr , Phoenix AZ 85053-3927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Matherly, Sylvia can be contacted via phone (602) 866-1974.Contact Information
Primary practice address
15420 N 32Nd Dr
Phoenix AZ 85053-3927
Phone: (602) 866-1974
Fax: (602) 375-3949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN114765 | Arizona |
Profile Details
| NPI number | 1811056971 |
|---|---|
| LBN Legal business name | Matherly, Sylvia |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Sep 23rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811056971 | NPPES |
| Arizona | MEDICAID | 635914 |
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