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NPI 1598577959 · live from the CMS NPI Registry

Anu Xandy Alexander Mathew, CPNP

Nurse Practitioner, Pediatrics in Plano, TX. National Provider Identifier 1598577959, active.

NPI record

NPI1598577959 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location3900 W 15th St Ste 107, Plano, TX 75075
Practice phone972-964-7773
Mailing address2812 Gooseberry Dr, Plano, TX 75074
EnumeratedJanuary 23, 2025
Last updatedJanuary 23, 2025
Sole proprietorNo
Other namesAnu Alexander

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Pediatrics163WP0200X779589 (TX)
Nurse Practitioner, Pediatrics primary363LP0200XAP143843 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.