Provider Demographics
NPI:1437011962
Name:MATHEWS, ANJU ANN (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:ANJU
Middle Name:ANN
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 COLE CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5962
Mailing Address - Country:US
Mailing Address - Phone:214-384-2169
Mailing Address - Fax:
Practice Address - Street 1:2813 COLE CASTLE DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-5962
Practice Address - Country:US
Practice Address - Phone:214-384-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1180879363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care