Provider Demographics
NPI:1437406071
Name:MATHIS, ELIZABETH F (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:F
Last Name:MATHIS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 SE 15TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-7536
Mailing Address - Country:US
Mailing Address - Phone:360-721-5121
Mailing Address - Fax:
Practice Address - Street 1:14200 SE 15TH CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-7536
Practice Address - Country:US
Practice Address - Phone:360-721-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula