Provider Demographics
NPI:1154608479
Name:MATHEW, LINCY (RNFA, CNOR)
Entity type:Individual
Prefix:MISS
First Name:LINCY
Middle Name:
Last Name:MATHEW
Suffix:
Gender:F
Credentials:RNFA, CNOR
Other - Prefix:MRS
Other - First Name:LINCY
Other - Middle Name:
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA
Mailing Address - Street 1:1301 MERCY CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1762
Mailing Address - Country:US
Mailing Address - Phone:214-703-0226
Mailing Address - Fax:
Practice Address - Street 1:1301 MERCY CT
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1762
Practice Address - Country:US
Practice Address - Phone:214-703-0226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX732937163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant