Provider Demographics
NPI:1669975769
Name:MATHEW, LINDA SKARIAH (FNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SKARIAH
Last Name:MATHEW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6843 PEMBERTON DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4636
Mailing Address - Country:US
Mailing Address - Phone:972-746-8180
Mailing Address - Fax:
Practice Address - Street 1:8380 WARREN PARKWAY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:972-377-2625
Practice Address - Fax:972-377-2667
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily