Provider Demographics
NPI:1306629191
Name:MATHENY, MARIA KAY
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:KAY
Last Name:MATHENY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1391 WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-4538
Mailing Address - Country:US
Mailing Address - Phone:407-301-1426
Mailing Address - Fax:
Practice Address - Street 1:3389 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-7736
Practice Address - Country:US
Practice Address - Phone:407-301-1426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion