Healthcare Provider Details

I. General information

NPI: 1467766949
Provider Name (Legal Business Name): CAROLINE ANNE MATHIS APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR STE 4100
ASHEVILLE NC
28801-4550
US

IV. Provider business mailing address

1 HOSPITAL DR STE 4100
ASHEVILLE NC
28801-4550
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-8883
  • Fax:
Mailing address:
  • Phone: 828-254-8883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5013871
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN09181512
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number15084
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5013871
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: