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NPI Code Detail

MEDICARE: MRS. ANN BIJA MATHEW FNP-C

MEDICARE:  MRS. ANN BIJA MATHEW  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5007262NC
2363LF0000XFamily Nurse Practitioner5007262NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2NCM3227AOTHERNCMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11518361021OTHERNCNPI

General Provider Information

NPI Number : 1518361021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN BIJA MATHEW FNP-C
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5325 VINNING ST NW STE 101
Second Line :
City : CONCORD
State : NC
Zip : 28027-2956
Country : US
Telephone Number : 704-316-1040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2014
Last Update Date : 12/04/2025

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Directions to “ MRS. ANN BIJA MATHEW FNP-C” Practice Location

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